Individual
MRS. MARY BALDWIN DISPOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
600 S. 21ST AVE., YUMA, AZ 85364
(928) 502-8056
(928) 502-8082
Mailing address
2296 E 26TH WAY, YUMA, AZ 85365-3260
(928) 344-5352
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN103399
AZ
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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