Individual
JAIME L ENGHOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3120 W CAREFREE HWY STE 1-132, PHOENIX, AZ 85086-3260
(480) 622-0548
Mailing address
3120 W CAREFREE HWY STE 1-132, PHOENIX, AZ 85086-3260
(480) 622-0548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4726
AZ
Other
Enumeration date
09/17/2010
Last updated
01/31/2022
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