Individual
MRS. JOLENE B EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
215 E LEXINGTON AVE, PHOENIX, AZ 85012-2321
(480) 270-9819
Mailing address
5449 W WETHERSFIELD DR, GLENDALE, AZ 85304-1950
(623) 451-5564
(623) 486-4481
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
126132
AZ
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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