Individual
JACQUELYN AWOSIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20148 N DONITHAN WAY, MARICOPA, AZ 85138-2428
(480) 494-1419
(800) 758-1538
Mailing address
25210 S WYOMING AVE, SUN LAKES, AZ 85248-6408
(480) 494-1419
(800) 758-1538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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