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Personal Care Attendant >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1164657508

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 928-781-3681  Fax: --

Contact information for business:
PO BOX 70  ROCK POINT, AZ 86545-0070 US
Tel: 928-659-4278  Fax: --

Registration Information:
NPI: 1164657508
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747P1801XNursing Service Related Providers
Personal Care Attendant

Legacy codes, insurance codes and state license numbers:



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