Organization
ARIZONA ADVANCED AESTHETICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNESSA HUSSEY DO (OWNER)
(602) 249-4508
Entity
Organization
Contact information
Practice address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(602) 249-4508
Mailing address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(602) 249-4508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5493
AZ
Other
Enumeration date
01/03/2011
Last updated
01/31/2011
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