Jacqueline M Potokar, CERTIFIED CARE GIVER
NPI #1013234434 in Gold Canyon, Arizona
Provider Information
- NPI Number
- 1013234434
- Entity Type
- Individual
- Name
- Jacqueline M Potokar, CERTIFIED CARE GIVER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Credential
- CERTIFIED CARE GIVER
- Enumeration Date
- Apr 24, 2010
- Last Updated
- Apr 24, 2010
Practice Location
- Address
- 5175 S KINGS RANCH RD
- City
- Gold Canyon
- State
- Arizona
- ZIP Code
- 85118-3337
- Phone
- (602) 708-0546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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