JESSYCA ANN SMALL

PHOENIX, AZ
NPI1720137540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  RN142105)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
-- JESSYCA ANN SMALL RN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- JESSYCA ANN SMALL RN
B0X PO
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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