Individual
ALICIA KAMILE GENTRY-MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO 548 HIGHWAY 86 TOPAWA ROAD, SELLS, AZ 85634
(520) 383-7200
Mailing address
PO BOX 98, SELLS, AZ 85634-0098
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
28187726A
IN
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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