Haisheba Pacifica Jenness

NPI #1366774762 in Casa Grande, Arizona

Provider Information

NPI Number: 1366774762
Entity Type: Individual
Name: Haisheba Pacifica Jenness
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Feb 10, 2010
Last Updated: Feb 10, 2010

Practice Location

Address: 1355 E ANGIE ST
City: Casa Grande
State: Arizona
ZIP Code: 85122-3293
Phone: (760) 587-9277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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