Individual
MS. NANCY RUTH HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
501 S WILLARD ST, COTTONWOOD, AZ 86326-8120
(928) 649-1523
Mailing address
605 E BEAVER DR, CAMP VERDE, AZ 86322-7146
(405) 209-4421
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308150
TX
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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