Individual
JEANNIE ELLEN KHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 COCHISE DR, WINSLOW, AZ 86047-2072
(928) 288-8400
(928) 288-8492
Mailing address
800 N APACHE AVE, WINSLOW, AZ 86047-3819
(928) 288-8266
(928) 288-8295
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
RN139915
AZ
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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