Individual
JAIME KOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14040 N CAVE CREEK RD STE 209, PHOENIX, AZ 85022-6179
(602) 576-1060
Mailing address
14040 N CAVE CREEK RD STE 209, PHOENIX, AZ 85022-6179
(602) 576-1060
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
AZ
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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