JALICIA STURDIVANT

SURPRISE, AZ
NPI1750919023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  010924)
Additional Taxonomies207QA0505X Family Medicine, Adult Medicine
(Licence: GA  95609)
Enumeration Date2020-03-31
Last Update Date2024-06-20
Business Address
Dr. JALICIA STURDIVANT DO
15351 W BELL RD
SURPRISE, AZ 85374-4580
Phone number: 480-964-2273
Mailing Address
Dr. JALICIA STURDIVANT DO
3033 N CENTRAL AVE STE 145
PHOENIX, AZ 85012-2808
Phone number: 480-964-2273