Individual
BEATRICE LEA KJELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-6810
Mailing address
6975 W KINGS AVE, PEORIA, AZ 85382-3955
(701) 331-9001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
294254
AZ
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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