Individual
MRS. JENISE A TONDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(618) 889-1416
Mailing address
16748 W HOLLY ST, GOODYEAR, AZ 85395-2569
(618) 889-1416
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5328
AZ
Other
Enumeration date
08/21/2006
Last updated
05/04/2015
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