Individual
LELABETH PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
INTERSTATE 19 AND STATE ROUTE 86, SELLS, AZ 85634-0548
(520) 383-7352
Mailing address
PO BOX 548, SELLS, AZ 85634-0548
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
150391
AZ
163WC1500X
Community Health Registered Nurse
Primary
150391
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518332139
—
AZ
Enumeration date
12/08/2015
Last updated
10/06/2016
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