Individual
MISS JOY LADAWN BURKHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3046 W 12TH PL, YUMA, AZ 85364-4269
(928) 246-4658
Mailing address
3046 W 12TH PL, YUMA, AZ 85364-4269
(928) 246-4658
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3642
AZ
Other
Enumeration date
08/05/2006
Last updated
03/02/2009
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