Individual
JILL NMI JAPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5225 E BUENA SCHOOL BLVD, SIERRA VISTA, AZ 85635-2392
(520) 515-2872
Mailing address
5225 E BUENA SCHOOL BLVD, SIERRA VISTA, AZ 85635-2392
(520) 515-2872
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN086986
AZ
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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