Individual
MRS. GERTRUDE ANN BASGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
801 N LENZNER AVE, SIERRA VISTA, AZ 85635-0905
(520) 515-2945
(520) 515-2948
Mailing address
1321 BUCKHORN CIR, SIERRA VISTA, AZ 85635-0902
(520) 515-2945
(152) 051-5294
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN057145
AZ
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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