Individual
JENNA CHANEL CHAFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2128 E KNOLL CIR, MESA, AZ 85213-2208
(480) 532-1216
Mailing address
2128 E KNOLL CIR, MESA, AZ 85213-2208
(480) 532-1216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN199645
AZ
Other
Enumeration date
09/02/2024
Last updated
10/03/2024
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