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Individual

RHOCEL DELOS REYES BACANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
CORNER OF RTE 12 AND, RTE 7,, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
7345 WOODLAND DR STE D, INDIANAPOLIS, IN 46278-1737
(317) 388-0800
(317) 388-0805

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105993
TX

Other

Enumeration date
12/16/2022
Last updated
12/16/2022
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