Individual
JESUS J JUSTINIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6710 E UNIVERSITY DR UNIT 164, MESA, AZ 85205-7660
(480) 709-3375
Mailing address
6710 E UNIVERSITY DR UNIT 164, MESA, AZ 85205-7660
(480) 709-3375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
236829
AZ
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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