Individual
CYNTHIA GAYE HERDA-KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6942 W OLIVE AVE LOT 70, PEORIA, AZ 85345-7266
(740) 617-7871
Mailing address
6942 W OLIVE AVE LOT 70, PEORIA, AZ 85345-7266
(740) 617-7871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242933
AZ
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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