Individual
JEANETTE KATHLEEN LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2721 S SAN TAN VILLAGE PKWY STE 104, GILBERT, AZ 85295-0713
(480) 837-4300
Mailing address
2721 S SAN TAN VILLAGE PKWY STE 104, GILBERT, AZ 85295-0713
(480) 837-4300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9969
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/11/2022
Last updated
01/24/2024
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