JACKIE BUSH

PHOENIX, AZ
NPI1902960438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC0200X Registered Nurse Critical Care Medicine
(Licence: AZ  RN135732)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
MS. JACKIE BUSH RN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
MS. JACKIE BUSH RN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511