Individual
JUANITA CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 N 83RD AVE, PEORIA, AZ 85345-5945
(623) 486-6309
Mailing address
11200 N 83RD AVE, PEORIA, AZ 85345-5945
(623) 486-6309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN143944
AZ
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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