IndividualActive
Jessica Detrick
NPI 1326701954 · Other Technician · Yuma, AZ
Provider details
- NPI number
- 1326701954
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
3435 S 4th Ave Lot 10
Yuma, AZ 85365-4345
Phone: (928) 304-1542
Approximate (ZIP-level) locationGet directions
Mailing address
3435 S 4th Ave Lot 10
Yuma, AZ 85365-4345
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.