Individual
REZ LIWAG CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 WEST, HIGHWAY 264, SAINT MICHAELS, AZ 86511-8651
(619) 499-3562
Mailing address
PO BOX 869, FORT DEFIANCE, AZ 86504-0869
(619) 499-3562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
742982
NY
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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