Individual
JENNY TRUNCELLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15550 N PARKVIEW PL, SURPRISE, AZ 85374-7465
(623) 523-8840
(623) 523-8811
Mailing address
14104 N 146TH LN, SURPRISE, AZ 85379-4710
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP050305
AZ
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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