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San Jose Integrated Clinic Llc
Family Nurse Practitioner in San Luis, Arizona
NPI 1386287753

San Jose Integrated Clinic Llc is a Family Nurse Practitioner based in Yuma, AZ and is specialized in Family. San Jose Integrated Clinic Llc practices in San Luis, AZ. The NPI Number for San Jose Integrated Clinic Llc is 1386287753 and holds a License No. (Arizona).

The current practice location address for San Jose Integrated Clinic Llc is 2000 E Juan Sanchez Blvd, San Luis, AZ and can be reached out via phone at 928-722-6098 and via fax at 928-627-0007.

Location: 2000 E Juan Sanchez Blvd, San Luis, AZ, 85364-6066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386287753
Provider Name
San Jose Integrated Clinic Llc
Credential
Provider Entity Type
Organization
Address
2000 E Juan Sanchez Blvd, San Luis, AZ, 85364-6066
Phone Number
928-722-6098
Fax Number
928-627-0007
Provider Enumeration Date
10/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 E Juan Sanchez Blvd
City
San Luis
State
Arizona
Zip
85336-0481
Phone Number
928-722-6098
Fax Number
928-627-0007
person
Provider Business Mailing Address Details
Address
2000 E Juan Sanchez Blvd
City
San Luis
State
Arizona
Zip
85336-0481
Phone Number
928-722-6098
Fax Number
928-627-0007
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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