JENESSA PAYANO STARK

TUBA CITY, AZ
NPI1821428517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
Additional Taxonomies176B00000X Midwife
(Licence: MN  1036)
Enumeration Date2013-11-18
Last Update Date2019-08-30
Business Address
JENESSA PAYANO STARK CNM, CPM
167 MAIN ST
TUBA CITY, AZ 86045
Phone number: 866-976-5941
Mailing Address
JENESSA PAYANO STARK CNM, CPM
167 MAIN ST
TUBA CITY, AZ 86045
Phone number: 866-976-5941
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