Individual
MRS. BEVERLY LYNDELE MIKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 MALACATE ST, AJO, AZ 85321
(520) 738-7703
(520) 387-6036
Mailing address
3950 S COUNTRY CLUB RD, STE 400, TUCSON, AZ 85714
(520) 243-8000
(520) 243-8311
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN064885
AZ
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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