Individual
EUGENE NODESTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HWY 264, MP 388, HOPI HEALTH CARE CENTER, POLACCA, AZ 86042-4000
(928) 737-6387
Mailing address
PO BOX 4000, HOPI HEALTH CARE CENTER, POLACCA, AZ 86042-4000
(928) 737-6387
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA323705353
AZ
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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