Individual
MS. JADE MARIE VINATIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2091 SMOKETREE AVE N STE 103, LAKE HAVASU CITY, AZ 86403-5896
(928) 453-3332
Mailing address
5210 N VALLE DORADO, KINGMAN, AZ 86409-1599
(928) 530-9783
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
267114
AZ
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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