Individual
SHAY L JANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7841 W SWEETWATER AVE, PEORIA, AZ 85381-4994
(623) 412-4820
Mailing address
7544 W SURREY AVE, PEORIA, AZ 85381-4974
(623) 849-0511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP035984
AZ
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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