Individual
AERIELLE ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE ASSI
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 783-2981
(928) 283-2677
Mailing address
PO BOX 600, TUBA CITY, AZ 86045
(728) 283-2781
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1000045321
AZ
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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