Search › Arizona › 247200000X
Jessica Detrick
NPI 1326701954 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3435 S 4th Ave Lot 10
Yuma, AZ 85365 - Phone
- (928) 304-1542
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-21
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