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Individual

MRS. JENETTE DENISE RATLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
13657 W MCDOWELL RD, SUITE 118, GOODYEAR, AZ 85395-2601
(602) 471-1924
Mailing address
13035 W VISTA PASEO DR, LITCHFIELD PARK, AZ 85340-5572
(602) 471-1924

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN137221
AZ
163WW0000X
Wound Care Registered Nurse
Primary
RN137221
AZ

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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