Individual
DOLLIE ANN LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
167 NORTH MAIN ST., TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Mailing address
PO BOX 1522, TUBA CITY, AZ 86045-1522
(928) 283-2481
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN126510
AZ
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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