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Individual

DELLA MAE SIEWEYUMPTEWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
HWY 264 MM 388, HOPI HEALTH CARE CENTER, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6080
Mailing address
P.O. BOX # 4000, HOPI HEALTH CARE CENTER, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6080

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA994578503
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020529
AZ
Enumeration date
04/12/2010
Last updated
04/12/2010
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