Individual
MR. MANUEL JAYMENN ABEYTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
(928) 475-1400
Mailing address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
(928) 475-1400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
312488
AZ
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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