Individual
BETH L LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HIGHWAY 264 MILEPOST 388, POLACCA, AZ 86042-4000
(928) 737-6053
(928) 737-6200
Mailing address
PO BOX 4000, POLACCA, AZ 86042-4000
(928) 737-6053
(928) 737-6200
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
28142197A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
Enumeration date
01/04/2011
Last updated
01/04/2011
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