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Thaylia Quanimptewa

NPI 1710615620 · on the registry since 2022

Practice

Address
Hwy 264 Mp388
Polacca, AZ 86042
Phone
(928) 737-6000
Fax
(928) 737-6005
Clinicians at this address
4

Registry record

Primary taxonomy
247000000X
247000000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona