Jerome Joseph Dedecker
Jerome Joseph Dedecker is a Registered Nurse in Seligman, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2021
Practice location Address checks out
26827 Fortrock RdSeligman, AZ 86337
Phone: (928) 583-4245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence B12876871 (AZ) |
|---|
Record details
| NPI number | 1225603327 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2021 |
| Last updated in NPPES | May 21, 2021 |
| Certification date | May 10, 2021 |
| Mailing address | 26827 Fortrock Rd, Seligman, AZ 86337 |