Individual
JEREMY KWARCINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
19649 W ROMA AVE, LITCHFIELD PARK, AZ 85340-5793
(414) 526-0511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
256959
AZ
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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