Individual
MARY BEAR-TASHQUINTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
HIGHWAY 86/MILEMARKER 74, HCO1, SELLS, AZ 85634
(520) 383-7007
(520) 362-7080
Mailing address
PO BOX 8157, HCO1, SELLS, AZ 85634
(520) 383-7007
(520) 362-7080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51741
NE
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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