Individual
MYRA PEARL DALTON
Active
Individual
MYRA PEARL DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1000011700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNA1000011700
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
03/14/2018
Last updated
03/14/2018
Update your record
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