JAIMIE LUKOSE

PHOENIX, AZ
NPI1457129819
Former NameJAIMIE VAYALIL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  237099)
Enumeration Date2023-12-15
Last Update Date2024-01-25
Business Address
Mrs. JAIMIE LUKOSE NP
4222 N 12TH ST STE 200
PHOENIX, AZ 85014-6024
Phone number: 602-795-9223
Mailing Address
Mrs. JAIMIE LUKOSE NP
4222 N 12TH ST STE 200
PHOENIX, AZ 85014-6024
Phone number: 027-959-2236