Individual
ALEXIS KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
450 W 6TH ST, YUMA, AZ 85364-2973
(928) 502-8282
Mailing address
676 S 8TH AVE, YUMA, AZ 85364-2921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN184102
AZ
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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