Individual
JAYME ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14821 W PERSHING ST, SURPRISE, AZ 85379-4281
(623) 203-0121
Mailing address
14821 W PERSHING ST, SURPRISE, AZ 85379-4281
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN131676
AZ
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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