Individual
MRS. KIM ERICA GARAY
Active
Individual
MRS. KIM ERICA GARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
UP004586N
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP5144
AZ
Other
Enumeration date
11/24/2008
Last updated
06/02/2014
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