Individual
MRS. JACQUELYN JACKSON DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, MPA, M.ED.
Contact information
Practice address
5805 W ALAMEDA RD, GLENDALE, AZ 85310-3601
(623) 445-5510
(623) 445-5580
Mailing address
5805 W ALAMEDA RD, GLENDALE, AZ 85310-3601
(623) 445-5510
(623) 445-5580
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN043729
AZ
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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