Individual
MS. JESSICA LAUREN ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2250 W SOUTHERN AVE STE 102, MESA, AZ 85202-4736
(480) 835-5532
(480) 962-0106
Mailing address
2250 W SOUTHERN AVE, STE 102, MESA, AZ 85202-4736
(480) 835-5532
(480) 962-0106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4763
AZ
Other
Enumeration date
12/13/2010
Last updated
10/05/2020
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