Organization
YUMA SCHOOL DISTRICT ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORA MARLENE DELOZIER RN (REGISTERED NURSE-SCHOOL NURSE)
(928) 783-6626
Entity
Organization
Contact information
Practice address
450 W 5TH ST, YUMA, AZ 85364
(928) 726-6309
Mailing address
450 W. 5TH STREET, YUMA, AZ 85364
(928) 783-6626
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN120083
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152374
AHCCCS PROVIDER ID
AZ
Enumeration date
02/22/2007
Last updated
08/22/2020
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