NPI 1366774762

Haisheba Pacifica Jenness

Practitioner Contractor Casa Grande, AZ

Practice location

Address: 1355 E Angie St, Casa Grande, AZ 85122-3293
Phone: (760) 587-9277

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1366774762
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2010
Record last updated: 10 Feb 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.