Individual
MRS. JOLIE ELIZABETH MEDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
14108 N 156TH CT, SURPRISE, AZ 85379-5639
(253) 632-4014
Mailing address
14108 N 156TH CT, SURPRISE, AZ 85379-5639
(253) 632-4014
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN168967
AZ
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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