Individual
MRS. MILENA JOVANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20652 N. 16TH WAY, PHOENIX, AZ 85024
(623) 734-2708
(623) 582-2339
Mailing address
20652 N. 16TH WAY, PHOENIX, AZ 85024
(623) 734-2708
(623) 582-2339
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313656
—
AZ
Enumeration date
06/28/2017
Last updated
07/21/2022
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