Individual
DIANA MAYERLY ACEVEDO GORDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
KAYENTA HEALTH CENTER, HIGH WAY 160 MP 394.3, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
PO BOX 384, KAYENTA, AZ 86033-0384
(909) 583-4929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91797
PR
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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