Individual
MRS. GINA MICHELLE WALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3555 E FRY BLVD, SIERRA VISTA, AZ 85635-2972
(520) 515-2990
(520) 515-2994
Mailing address
3555 E FRY BLVD, SIERRA VISTA, AZ 85635-2972
(520) 515-2990
(520) 515-2994
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN162394
AZ
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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