Charity R Grandson CNA

NPI 1578867230 - Nurse's Aide - 376K00000X

NPI Details
NPI 1578867230
Gender Female
Enumeration Date 01/10/2011
Last Updated 01/10/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
167 NORTH MAIN STREET
TUBA CITY AZ, 86045-0600, US
Phone (928) 283-2501
Fax
Business Location
PO BOX 600
TUBA CITY AZ, 86045-0600, US
Phone (928) 283-2501
Fax
Toxanomy
Taxonomy Code 376K00000X
License State Arizona
License Number CNA1000018669
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According to our database, Charity R Grandson CNA NPI is 1578867230, taxonomy code is 376K00000X and license number is CNA1000018669, license state is located at Arizona. Charity R Grandson CNA physically located at 167 North Main Street, Tuba City AZ, 86045-0600. NPI Number Charity R Grandson CNA has the Individual type.

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1578867230 NPI number is provided on an as is basis without warranty of any kind. 1578867230 is maintained by the National Plan & Provider Enumeration System. The contents of Charity R Grandson CNA are for informational purposes only.