Individual
JANIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86504-8650
(928) 729-8600
Mailing address
CORNER OF ROUTES N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
856948
TX
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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