Individual
JENNIFER GAUCIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7012 W ALMERIA RD, PHOENIX, AZ 85035-4619
(602) 330-8787
Mailing address
PO BOX 7664, SURPRISE, AZ 85374-0111
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MT-06626P
AZ
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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