Individual
JESSICA ENERIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5010 N 95TH AVE, GLENDALE, AZ 85305-3042
(623) 872-0536
Mailing address
5010 N 95TH AVE, GLENDALE, AZ 85305-3042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S0117832
AZ
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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