Individual
MARY MELANI JASKOWIAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
4540 E BASELINE RD, STE 108, MESA, AZ 85206-4613
(480) 892-3880
(480) 545-4551
Mailing address
4540 E BASELINE RD, STE 108, MESA, AZ 85206-4613
(480) 892-3880
(480) 545-4551
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN049921
AZ
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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