Individual
LYGHTON BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2781
(928) 283-2677
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2781
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1000030820
AZ
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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