Individual
RUTH ALICIA GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9970 W BEARDSLEY RD, PEORIA, AZ 85382-2652
(623) 412-5400
(623) 412-5407
Mailing address
9970 W BEARDSLEY RD, PEORIA, AZ 85382-2652
(623) 412-5400
(623) 412-5407
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
231113
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231113
RN
AZ
Enumeration date
08/10/2021
Last updated
08/10/2021
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