Individual
JENNIFER M BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
683 W ORCHID LN, CHANDLER, AZ 85225-6515
(480) 341-0915
Mailing address
683 W ORCHID LN, CHANDLER, AZ 85225-6515
(480) 341-0915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
215396
AZ
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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