Jara Gomez, Jennifer Tatiana

Jara Gomez, Jennifer Tatiana is an individual health care provider with primary practice located at 1856 E Innovation Park Dr , Oro Valley AZ 85755-1963. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jara Gomez, Jennifer Tatiana can be contacted via phone (520) 825-7111.

Contact Information

Primary practice address
1856 E Innovation Park Dr Oro Valley AZ 85755-1963
Phone: (520) 825-7111
Fax: (520) 818-1253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 65852 Arizona

Profile Details

NPI number 1164076022
LBN Legal business name Jara Gomez, Jennifer Tatiana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2019
Last updated Sep 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164076022 NPPES
Arizona MEDICAID 160205

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