Individual
JEANNINE A YELLOWHAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 E BEVERLY RD, PHOENIX, AZ 85042-7052
(480) 710-6306
Mailing address
2616 E BEVERLY RD, PHOENIX, AZ 85042-7052
(480) 710-6306
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN132341
AZ
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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