Individual
MR. JOEL THOMAS PRICKETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HWY US-160 MILEPOST 394.3, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
855822
MS
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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