Individual
JACQUELINE COLENE WELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5424 E SOUTHERN AVE, SUITE 101, MESA, AZ 85206-3621
(480) 654-6200
(480) 654-6214
Mailing address
5424 E SOUTHERN AVE, SUITE 101, MESA, AZ 85206-3621
(480) 654-6200
(480) 654-6214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
Other
Enumeration date
01/06/2015
Last updated
03/22/2017
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