Individual
KEVIN SOJOURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3217 W POTTER DR, PHOENIX, AZ 85027-6032
(760) 580-3920
Mailing address
3217 W POTTER DR, PHOENIX, AZ 85027-6032
(760) 580-3920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
180950
AZ
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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