AURIAH G BLACKMOUNTAIN

TUBA CITY, AZ
NPI1184938557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP021563)
Enumeration Date2010-07-28
Last Update Date2010-07-28
Business Address
-- AURIAH G BLACKMOUNTAIN LPN
167 N MAIN ST
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
-- AURIAH G BLACKMOUNTAIN LPN
P.O. BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501