Individual
MARILYN MASAYESVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HWY 264, MP 388, POLACCA, AZ 86042
(928) 737-6000
(928) 737-6369
Mailing address
PO BOX 4000, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6369
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN041425
AZ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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