Individual
SHAINA NOELLE RAYNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 527-6163
Mailing address
1455 W COX AVE, FLAGSTAFF, AZ 86001-8843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN169908
AZ
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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