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Marvin Gandia
Emergency Registered Nurse in Fort Defiance, Arizona
NPI 1548970015

Marvin Gandia is a Emergency Registered Nurse based in Gallup, AZ and is specialized in Emergency. Marvin Gandia practices in Fort Defiance, AZ. The NPI Number for Marvin Gandia is 1548970015 and holds a License No. RN210417 (Arizona).

The current practice location address for Marvin Gandia is Corner Route 7 And Route 12, Fort Defiance, AZ and can be reached out via phone at 928-729-8600.

Location: Corner Route 7 And Route 12, Fort Defiance, AZ, 87301-5833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548970015
Provider Name
Marvin Gandia
Credential
Provider Entity Type
Individual
Gender
Male
Address
Corner Route 7 And Route 12, Fort Defiance, AZ, 87301-5833
Phone Number
928-729-8600
Fax Number
Provider Enumeration Date
11/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Corner Route 7 And Route 12
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-8600
Fax Number
person
Provider Business Mailing Address Details
Address
Corner Route 7 And Route 12
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
RN210417 (Arizona)
Definition
Definition to come...
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