Individual
AMERICA RAYAN BAD HEART BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PO BOX 548, SELLS, AZ 85634-0548
(786) 631-1914
Mailing address
PO BOX 548, SELLS, AZ 85634-0548
(520) 383-7200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
269872
AZ
Other
Enumeration date
02/06/2022
Last updated
12/08/2024
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