Individual
JENNY NGUYEN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 W MAIN ST, MESA, AZ 85201-7018
(480) 833-8838
Mailing address
550 E MCKELLIPS RD APT 2064, MESA, AZ 85203-9627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022913
AZ
Other
Enumeration date
11/15/2017
Last updated
11/27/2017
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