Individual
LEONILA PURISIMA JEQUINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(520) 955-7903
Mailing address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(520) 955-7903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8617
AZ
Other
Enumeration date
04/19/2016
Last updated
05/11/2017
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