Individual
MS. NICOLE D PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N. SOMERTON AVE, SOMERTON, AZ 85350
(928) 627-8806
(928) 627-1126
Mailing address
3393 W 21ST PL, YUMA, AZ 85364-5940
(928) 750-3022
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H008905
AZ
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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