Individual
MRS. CAROL JEAN WOSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2900
(928) 769-2971
Mailing address
2380 N ALPHA ST, KINGMAN, AZ 86401-5000
(928) 753-4394
(928) 769-2971
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN017386
AZ
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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