Individual
DR. JENNESSA FAY IANNITELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7942 W BELL RD, SUITE 2, GLENDALE, AZ 85308-8708
(480) 845-4121
Mailing address
7942 W BELL RD, SUITE 2, GLENDALE, AZ 85308-8708
(480) 845-4121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5493
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532518
—
AZ
Enumeration date
10/19/2007
Last updated
07/30/2015
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