Individual
KRISTIE KEWENVOYOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 NORTH MAIN ST, TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN150850
AZ
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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