Individual
RESYL RAGADIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
167 NORTH MAIN ST, TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
167 NORHT MAIN ST, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN141383
AZ
Other
Enumeration date
10/29/2010
Last updated
01/18/2012
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