Individual
MARY WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
3033 MCDONALD AVE, KINGMAN, AZ 86401-4235
(928) 753-5678
Mailing address
3033 MCDONALD AVE, KINGMAN, AZ 86401-4235
(928) 753-5678
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
247963
AZ
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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