Individual
JENNIFER ZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(847) 772-3146
Mailing address
1400 S DOBSON RD, MESA, AZ 85202-4707
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
PENDING
AZ
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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