Individual
JEANNA JOY ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S. WILDFLOWER DR, GOODYEAR, AZ 85338
(623) 772-5210
Mailing address
12336 W. VIRGINIA AVE, AVONDALE, AZ 85323
(623) 935-4169
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
20240
AZ
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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