Provider Demographics
NPI:1649536038
Name:MAESER, JENIFER HOPE
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:HOPE
Last Name:MAESER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 W PASEO CELESTIAL
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-8651
Mailing Address - Country:US
Mailing Address - Phone:520-237-5919
Mailing Address - Fax:
Practice Address - Street 1:98 W PASEO CELESTIAL
Practice Address - Street 2:
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85629-8651
Practice Address - Country:US
Practice Address - Phone:520-237-5919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT49872246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy