Individual
MRS. ROSALYN HARRIETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
227 MAIN ST., DUNCAN, AZ 85534
(928) 359-1380
(928) 359-1381
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-2626
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2817
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
845042
—
AZ
Enumeration date
07/20/2006
Last updated
01/04/2013
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