Individual
JESSICA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3724 E VALENCIA DR, PHOENIX, AZ 85042-9655
(908) 316-1220
Mailing address
3724 E VALENCIA DR, PHOENIX, AZ 85042-9655
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
61610
AZ
Other
Enumeration date
04/04/2018
Last updated
11/19/2020
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