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>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1154744811

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
HWY160/163, BLDG KA 2010  KAYENTA, AZ 86033-0368 US
Tel: 928-697-4110  Fax: 928-697-4083

Contact information for business:
HWY160/163, BLDG KA 2010  KAYENTA, AZ 86033-0368 US
Tel: 928-697-4110  Fax: 928-697-4083

Registration Information:
NPI: 1154744811
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse

Legacy codes, insurance codes and state license numbers:



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