Individual
JALISA ZINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W BUCKEYE RD STE 304, PHOENIX, AZ 85003-2693
(602) 243-6000
Mailing address
16615 W CULVER ST, GOODYEAR, AZ 85338-3022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
253064
AZ
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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