Individual
BOBY JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7208 W FLEETWOOD LN, GLENDALE, AZ 85303-7605
(602) 277-5551
Mailing address
7208 W FLEETWOOD LN, GLENDALE, AZ 85303-7605
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
142728
AZ
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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