Individual
MAGDALENE WEBB-ST. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3130
(928) 669-3131
Mailing address
12033 AGENCY RD PARKER INDIAN HEALTHCARE CENTER 12033, PARKER, AZ 85344
(928) 669-3130
(928) 669-3131
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
256620
CA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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