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Jacqueline Conway
NPI 1124736194 · on the registry since 2022 · sole proprietor
Practice
- Address
- 65 E University Dr
Tempe, AZ 85281 - Phone
- (480) 317-6139
- Fax
- (480) 546-4423
- Organisation at this address
- Mirabella At Asu, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona