Individual
JENNIFER WEGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3329 E FLOWER ST, PHOENIX, AZ 85018-6225
(480) 209-2728
Mailing address
3329 E FLOWER ST, PHOENIX, AZ 85018-6225
(480) 209-2728
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048284
AZ
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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