Individual
JONATHAN U HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN,NP-C
Contact information
Practice address
3507 S MERCY RD, STE 101, GILBERT, AZ 85297-0441
(480) 926-0644
(480) 926-0645
Mailing address
3507 S MERCY RD, STE 101, GILBERT, AZ 85297-0441
(480) 926-0644
(480) 926-0645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP9033
AZ
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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