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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE M POTOKAR, CERTIFIED CARE GIVER

Active Sole Proprietor

JACQUELINE M POTOKAR, CERTIFIED CARE GIVER is a Adult Companion healthcare provider located in GOLD CANYON, Arizona. NPI 1013234434 is currently active in the NPPES registry. Verify at CMS.

Adult Companion · GOLD CANYON, AZ

Registration Details

NPI Number
1013234434
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2010 (16.346350287978 yrs)
Last Updated
Apr 24, 2010
License
ALTP0141 (AZ)
Sole Proprietor
Yes

Practice Information

Address
5175 S KINGS RANCH RD
GOLD CANYON, AZ, 851183337
Browse AZ providers · Browse ZIP 85118
Phone
6027080546
Primary Specialty
Adult Companion
372600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.