Individual
GEMINI JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP- C
Contact information
Practice address
16414 N 72ND LN, PEORIA, AZ 85382-4938
(623) 521-5139
Mailing address
16414 N 72ND LN, PEORIA, AZ 85382-4938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9830
AZ
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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