JERRY TAM

PHOENIX, AZ
NPI1912392994
Other NameJERRY KEAOPUA COSTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  RN184402)
Additional Taxonomies163W00000X Registered Nurse
(Licence: HI  RN49694)
Enumeration Date2015-04-06
Last Update Date2015-04-06
Business Address
-- JERRY TAM
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
-- JERRY TAM
671 W RATTLESNAKE PL
CASA GRANDE, AZ 85122-6604
Phone number: 808-960-5708