Individual
MS. NICKIE MACHADO CHOUINARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3250 E 40TH ST, YUMA, AZ 85365-7748
(928) 317-5023
Mailing address
3250 E 40TH ST, YUMA, AZ 85365-7748
(928) 317-5023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2693
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
735110
AHCCCS #
AZ
Enumeration date
05/25/2006
Last updated
07/08/2007
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