Individual
JANET LYNN STRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4825 E ROOSEVELT ST, PHOENIX, AZ 85008-5917
(602) 629-6711
(602) 629-6458
Mailing address
4825 EAST ROOSEVELT STREET, PHOENIX, AZ 85008
(602) 629-6711
(602) 629-6458
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN0540650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WS0200X
—
AZ
Enumeration date
04/20/2007
Last updated
07/08/2007
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