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Organization

LIFESPANN ENHANCED SKIN & BODY CARE, PLLC

Active
Other names
LifeSpann Primary Care & Esthetics
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER VALENCIA SPANN CRT, RRT, LE (OWNER/MANAGER)
(480) 351-7151
Entity
Organization

Contact information

Practice address
2451 E BASELINE RD STE 310, GILBERT, AZ 85234-2465
(480) 351-7151
(480) 499-0891
Mailing address
2451 E BASELINE RD STE 310, GILBERT, AZ 85234-2465
(480) 351-7151

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
09/09/2021
Last updated
07/06/2022
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