San Carlos Apache Tribe

NPI #1912030370 in San Carlos, Arizona

Provider Information

NPI Number
1912030370
Entity Type
Organization
Organization Name
San Carlos Apache Tribe
Primary Specialty
Dietitian, Registered
Enumeration Date
Mar 14, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1 MOHAVE AVENUE
State
Arizona
ZIP Code
85550
Phone
(928) 475-2798

Authorized Official

Name
MR. WENDSLER NOSIE
Title
TRIBAL CHAIRMAN
Phone
(928) 475-2361

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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