Individual
JENNY HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5112 W OLIVE AVE STE C113, GLENDALE, AZ 85302-4209
(623) 939-8618
(623) 939-9184
Mailing address
10030 N 25TH AVE STE 200, PHOENIX, AZ 85021-1660
(602) 726-8805
(602) 944-4147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006566
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055385
—
AZ
01
—
R2095
RESIDENT TRAINING PERMIT NUMBER
—
Enumeration date
04/13/2012
Last updated
10/18/2016
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