Individual
JENNILYN JOY PUHAWAN CAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
14440 W TIERRA BUENA LN, SURPRISE, AZ 85374
(855) 546-1342
Mailing address
15950 N CIVIC CENTER PLZ, SURPRISE, AZ 85374-7464
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
ATR-009230
AZ
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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