Individual
JAEANA Z PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9880 N 77TH AVE, PEORIA, AZ 85345-6667
(623) 486-6479
Mailing address
9880 N 77TH AVE, PEORIA, AZ 85345-6667
(623) 486-6479
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
218968
AZ
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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