Individual
JOHANNA RENEE URQUIJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12775 E MARY ANN CLEVELAND WAY, VAIL, AZ 85641-8600
(520) 602-8266
Mailing address
6282 S TRUTH PL, TUCSON, AZ 85746-6282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1354
AZ
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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