Individual
MRS. JILL CLAUDETTE PROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3910 W GROVERS AVE, GLENDALE, AZ 85308-3006
(602) 467-5310
(602) 467-5380
Mailing address
3910 W GROVERS AVE, GLENDALE, AZ 85308-3006
(602) 467-5310
(602) 467-5380
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN035287
AZ
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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