Individual
MR. JOSEPH DEMICHELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6411 N ROBERT RD, ROOM 416, PRESCOTT VALLEY, AZ 86314-9146
(928) 759-4042
(928) 759-4030
Mailing address
6411 N ROBERT RD, ROOM 416, PRESCOTT VALLEY, AZ 86314-9146
(928) 853-0155
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN169380
AZ
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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