Individual
BERTHA ANN CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HIGHWAY 191 & HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7166
(928) 674-7705
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7166
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN128530
AZ
Other
Enumeration date
08/05/2010
Last updated
12/30/2011
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