Individual
SHEA LYNETTE MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
294 W CARLOS AVE, HOLBROOK, AZ 86025-1846
(928) 524-1821
Mailing address
118 E CALIFORNIA ST, HOLBROOK, AZ 86025-2610
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN145045
AZ
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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