Individual
EMILY JAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 E PRINCESS DR UNIT 2192, PHOENIX, AZ 85054-4120
(919) 673-1835
Mailing address
6900 E PRINCESS DR UNIT 2192, PHOENIX, AZ 85054-4120
(919) 673-1835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214206
AZ
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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