Individual
JOSHUA WAYNE OUTFLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2240 E WINROW AVE, USA MEDDAC. RWBAHC, FORTT HUACHUCA, AZ 85613
(520) 533-2627
Mailing address
2240 E WINROW AVE, USA MEDDAC. RWBAHC, FORTT HUACHUCA, AZ 85613
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP044724
AZ
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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