Individual
JUNA ALEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
948 E BETSY LN, GILBERT, AZ 85296-9761
(516) 594-4480
Mailing address
948 E BETSY LN, GILBERT, AZ 85296-9761
(516) 419-0212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN206230
AZ
164W00000X
Licensed Practical Nurse
LP047784
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08152038
DRIVERS LICENSE
AZ
Enumeration date
10/23/2013
Last updated
11/03/2019
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