Individual
VIRGINIA ILAINE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2 W. 3RD ST, CIBECUE, AZ 85911
(928) 332-2560
(928) 332-2418
Mailing address
961 S 8TH DR, SHOW LOW, AZ 85901-6751
(928) 532-0452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN023551
AZ
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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