Individual
VIRDELLE CECIL BEGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 MILES N RTE 12, MP 34, FORT DEFIANCE, AZ 86504
(928) 729-5335
(928) 729-5852
Mailing address
PO BOX 596, WINDOW ROCK, AZ 86515-0596
(928) 729-5335
(928) 729-5852
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
463023450
AZ
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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