Individual
LONNA JEAN BRAZEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
2400 S ARIZONA AVE, YUMA, AZ 85364-8610
(928) 336-7130
Mailing address
1368 W 18TH PL, YUMA, AZ 85364-5317
(928) 246-1140
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN030555
AZ
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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