Josephine Licano, CRNA
NPI #1710177191 in Apache Junction, Arizona
Provider Information
- NPI Number
- 1710177191
- Entity Type
- Individual
- Name
- Josephine Licano, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jul 31, 2007
- Last Updated
- Jul 31, 2007
Practice Location
- Address
- 719 S MOUNTAIN VIEW RD
- City
- Apache Junction
- State
- Arizona
- ZIP Code
- 85219-7544
- Phone
- (480) 288-9814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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