CHERNO BAH

FORT DEFIANCE, AZ
NPI1891167342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KS  00)
Enumeration Date2015-10-23
Last Update Date2024-03-07
Business Address
CHERNO BAH PMH-NP
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000
Mailing Address
CHERNO BAH PMH-NP
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000