Individual
JOYCE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S GRANITE ST, PRESCOTT, AZ 86303-4253
(928) 717-3241
Mailing address
300 S GRANITE ST, PRESCOTT, AZ 86303-4253
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN180103
AZ
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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