Individual provider · Type 1 NPI

Lela Dagmar Cantualla

Student in an Organized Health Care Education/Training Program · Tuba City, AZ

NPI number 1447547229 Active

Practice location

167 North Main Sreet
Tuba City, AZ 86045

Call (928) 283-2781 Map

Fax (928) 283-2677

Mailing address

PO Box 600
Tuba City, AZ 86045

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447547229

Lela Dagmar Cantualla's National Provider Identifier is 1447547229, issued on Jun 30, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tuba City, AZ. The record was last updated on Jun 30, 2011.