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Individual

DR. JESSICA AREN WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
7734 N. 59TH AVE, GLENDALE, AZ 85301
(602) 569-3999
(602) 569-3887
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(602) 569-3887

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A 10046
CA
208000000X
Pediatrics Physician
Primary
5028
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
374213
AZ
Enumeration date
06/03/2008
Last updated
09/09/2016
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