Individual
JADAH NOHEA MILAM-MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
4041 N CENTRAL AVE, BLDG. C, PHOENIX, AZ 85012-3330
(602) 279-5262
Mailing address
19336 W JOMAX RD, WITTMANN, AZ 85361-9743
(602) 279-5262
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH00006154
WA
124Q00000X
Dental Hygienist
Primary
H008074
AZ
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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