Individual
REGINA T CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(619) 846-6823
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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