Individual
JENNIFER ZAZUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
4126 E NIGHTHAWK WAY, PHOENIX, AZ 85048
(480) 720-8602
(480) 365-0507
Mailing address
P.O. BOX 21449, MESA, AZ 85277
(480) 221-4815
(480) 985-6247
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
246ZC0007X
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
09/13/2017
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