Individual
JORDAN PALUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5785 E CANNON PL, PRESCOTT VALLEY, AZ 86314-0084
(262) 374-2998
Mailing address
5785 E CANNON PL, PRESCOTT VALLEY, AZ 86314-0084
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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