Individual
JENNIFER DECHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
475 S DOBSON RD, CHANDLER, AZ 85224-5605
(480) 917-1648
Mailing address
PO BOX 12382, GLENDALE, AZ 85318-2382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2723
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
769466-04
—
AZ
Enumeration date
06/01/2006
Last updated
07/08/2007
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