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STELLA MAE DANNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
167 N MAIN ST, TUBA CITY, AZ 86045
(928) 283-2629
Mailing address
PO BOX 600, TUBA COTU, AZ 86045-0600
(928) 283-2629

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA999996086
AZ

Other

Enumeration date
12/01/2010
Last updated
12/01/2010
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