Individual
MS. REGINA ACOTHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 NORTH MAIN ST, TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
PO BOX 3963, TUBA CITY, AZ 86045-3963
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN132550
AZ
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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