Individual
JONICA HEATHER CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25250 N 35TH AVE, PHOENIX, AZ 85083-4335
(623) 445-7110
Mailing address
3085 W COUNTRY CLUB TER, PHOENIX, AZ 85027-1625
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN126101
AZ
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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