Individual
JEAN ANN AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 E DEVLIN AVE, KINGMAN, AZ 86409-2079
(928) 530-4504
Mailing address
2925 E DEVLIN AVE, KINGMAN, AZ 86409-2079
(928) 530-4504
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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