Jessica Dettra, P.A

NPI 1467774554 · on the registry since 2010

Practice

Address: 2550 N Thunderbird Cir
Suite 303
Mesa, AZ 85215
Phone: (480) 289-7890
Fax: (866) 441-6493
Organisation at this address: Phytcare Llc
Nextcare Primary Care South Texas Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-02-17

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