Individual
ANGELA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12965 E MADRID ST, DEWEY, AZ 86327-7223
(520) 661-0592
Mailing address
12965 E MADRID ST, DEWEY, AZ 86327-7223
(520) 661-0592
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048161
AZ
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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