Individual
MRS. JOTHY SAJEEV POULOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPEN
Contact information
Practice address
425 W HONEYSUCKLE DR, CHANDLER, AZ 85248-3974
(480) 751-8609
Mailing address
425 W HONEYSUCKLE DR, CHANDLER, AZ 85248-3974
(480) 751-8609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN138115
AZ
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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