Individual
STACIE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 773-8252
Mailing address
PO BOX 50131, PARKS, AZ 86018-0131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN165586
AZ
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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