Individual
RITA IGUADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Mailing address
1663 W VALLADOLID DR, TUCSON, AZ 85746-1226
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1148095
AZ
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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