Individual
JESSICA DA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22016 N 31ST PL, PHOENIX, AZ 85050-0098
(480) 435-4547
Mailing address
22016 N 31ST PL, PHOENIX, AZ 85050-0098
(480) 435-4547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN186808
AZ
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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