Individual
JOSEPH DEAN LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2781
(928) 283-2677
Mailing address
PO BOX 1458, TUBA CITY, AZ 86045-1458
(248) 701-8799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704284850
MI
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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