Individual
MAVIS ANN BAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
KAYENTA HEALTH CENTER, US HWY 160, MP 394.3, KAYENTA, AZ 86033
(928) 697-5141
Mailing address
PO BOX 1536, KAYENTA, AZ 86033-1536
(928) 679-5005
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA220293
AZ
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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