Individual
LUIS APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6251 E 25TH ST, TUCSON, AZ 85711-6014
(520) 481-9441
(520) 296-8244
Mailing address
6251 E 25TH ST, TUCSON, AZ 85711-6014
(520) 481-9441
(520) 296-8244
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH4915
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH4915
AZ DHS LICENSE
AZ
Enumeration date
06/17/2016
Last updated
06/17/2016
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