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Individual

MRS. BETZAIDA PINEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 242-0281
(602) 242-2791
Mailing address
2637 N 64TH DR, PHOENIX, AZ 85035-1528
(602) 242-0281
(602) 242-2791

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN116229
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
814071
AHCCCS
AZ
Enumeration date
02/06/2007
Last updated
07/08/2007
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