Individual
JACQUELINE J. HINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
E. ON HWY. 160 TO ROUTE 59, BEHIND KAYENTA CHAPTER HOUSE, KAYENTA, AZ 86033-1496
(928) 697-8154
(928) 697-8559
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-2626
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2518
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
833493
—
AZ
Enumeration date
03/08/2006
Last updated
07/09/2007
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