Individual
KAWANA BAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 S WILDFLOWER DR, GOODYEAR, AZ 85338-6869
(623) 772-5210
Mailing address
3952 N 143RD LN, GOODYEAR, AZ 85395-8426
(623) 281-5967
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
282564
AZ
Other
Enumeration date
10/02/2023
Last updated
11/06/2023
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