Individual
JENNIFER MIKLOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11368 W HARVESTER DR, MARANA, AZ 85653-8229
(520) 240-4081
Mailing address
11368 W HARVESTER DR, MARANA, AZ 85653-8229
(520) 240-4081
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP047681
AZ
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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