Individual
JENIFER PICHARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3555 WESTERN AVE, KINGMAN, AZ 86409-3011
(928) 377-1004
Mailing address
3555 WESTERN AVE, KINGMAN, AZ 86409-3011
(928) 377-1004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN158122
AZ
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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