Individual
GARRETTSON MICHAEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
HWY 160 M.P. 394.3, KAYENTA, AZ 86033-0368
(928) 697-4109
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4109
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
S5Y5K3Y2
AZ
376K00000X
Nurse's Aide
CNA1000018178
AZ
Other
Enumeration date
04/19/2018
Last updated
06/01/2023
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