Individual
MRS. JENNIFER LYNNE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12807 W ASH ST, EL MIRAGE, AZ 85335-6273
(623) 933-0257
Mailing address
12807 W ASH ST, EL MIRAGE, AZ 85335-6273
(623) 933-0257
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043742
AZ
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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