Individual
JENNIFER DARLENE COGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20895 WEST HAMILTON STREET, BUCKEYE, AZ 85340
(623) 547-3318
(623) 853-0655
Mailing address
272 E SAGEBRUSH ST, LITCHFIELD PARK, AZ 85340-4934
(623) 547-3318
(623) 853-0655
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
258438
AZ
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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