Individual
LAURA FAYE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
167 NORTH MAIN ST., TUBA CITY, AZ 86045
(928) 283-2519
Mailing address
PO BOX 3426, TUBA CITY, AZ 86045-3426
(435) 327-1830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7622534
UT
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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