Individual
KIMBERLEY MARCONTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER ROUTE 7 AND ROUTE 12, FT DEFIANCE, AZ 86504
(928) 729-8600
Mailing address
2812 COUNTRY CLUB DR, ORANGE, TX 77630-2145
(928) 729-8600
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
822175
TX
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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