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Individual

JANELL LEE MOUSSEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
HIGHWAY 86 AND TOPAWA RD., SELLS, AZ 85634-0548
(520) 383-7418
(520) 383-7255
Mailing address
HIGHWAY 86 AND TOPAWA RD., SELLS, AZ 85634-0548
(520) 383-7418
(520) 383-7255

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN165619
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN165619
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
08/19/2014
Last updated
08/19/2014
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