Individual
JENNIFER KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 824-8608
Mailing address
14333 E GERONIMO RD, SCOTTSDALE, AZ 85259-3783
(480) 824-8608
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP045319
AZ
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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