Individual
MS. MARY BETH PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12725 W BOCA RATON RD, EL MIRAGE, AZ 85335-4903
(623) 760-3153
Mailing address
12725 W BOCA RATON RD, EL MIRAGE, AZ 85335-4903
(623) 760-3153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
164W00000X
NY
Other
Enumeration date
02/22/2007
Last updated
01/10/2011
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