LESLEY JORGENSEN KLOCK

PHOENIX, AZ
NPI1629423413
Former NameLESLEY KIRSTEN JORGENSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP8476)
Enumeration Date2016-04-28
Last Update Date2016-04-28
Business Address
-- LESLEY JORGENSEN KLOCK FNP-C
4430 E RAY RD
PHOENIX, AZ 85044-6092
Phone number: 866-389-2727
Mailing Address
-- LESLEY JORGENSEN KLOCK FNP-C
374 W CITATION LN
TEMPE, AZ 85284-1358
Phone number: 480-707-3284