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NPI 1245107796

IndividualActive

Boby Jose

NPI 1245107796 · Hemodialysis Registered Nurse · Glendale, AZ

Provider details

NPI number: 1245107796
Entity type: Individual
Primary specialty: Hemodialysis Registered NurseNursing Service Providers
Sex: Male
Sole proprietor: No
License: 142728 (AZ)

Practice location

7208 W Fleetwood Ln

Glendale, AZ 85303-7605

Phone: (602) 277-5551

More AZ providers

Mailing address

7208 W Fleetwood Ln

Glendale, AZ 85303-7605

Registry dates

Enumerated: 2025-10-20
Last updated: 2025-10-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Boby Jose — NPI 1245107796, Glendale, AZ | NPI Central