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Individual

MRS. SUSAN CAMILLE HOFFNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 773-8202
(928) 773-8247
Mailing address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 773-8202
(928) 773-8247

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN102899
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130529
AZ
01
RN102899
NURSING LICENSE
AZ
Enumeration date
05/01/2007
Last updated
07/09/2007
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