Individual
MS. JACQUELINE KRISTINNA SKRUTVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
603 N WILMOT RD # 151, TUCSON, AZ 85711-2701
(520) 886-0206
Mailing address
PO BOX 910221 PO, DALLAS, TX 75391-3526
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
444
AZ
Other
Enumeration date
07/23/2009
Last updated
04/06/2024
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