Individual
JARED L RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 E MEDICINE WAY, PERIDOT, AZ 85542-8554
(928) 475-1400
Mailing address
3513 W CHURCH ST, THATCHER, AZ 85552-5644
(928) 965-2772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10994
AZ
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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