Individual
JILL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18601 W. CAMPBELL AVENUE, GOODYEAR, AZ 85395-8539
(623) 547-3418
Mailing address
272 E SAGEBRUSH ST, LITCHFIELD PARK, AZ 85340-4934
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN141452
AZ
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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