NPI 1013234434

Jacqueline M Potokar, CERTIFIEDCAREGIVER

Practitioner Adult Companion Gold Canyon, AZ

Practice location

Address: 5175 S Kings Ranch Rd, Gold Canyon, AZ 85118-3337
Phone: (602) 708-0546

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X Licence ALTP0141 (AZ)

Other Adult Companion providers in Arizona →

Registry record

NPI: 1013234434
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2010
Record last updated: 24 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.