Individual
ANAKANY TAVIZON BELTRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
359 N SAGUARO AVE, SAN LUIS, AZ 85336-8533
(928) 246-0562
Mailing address
PO BOX 12363, SAN LUIS, AZ 85349-6893
(928) 246-0562
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22-409
WI
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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