Individual
MARC NINO BALA MATANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
1625 W CIRCLE B DR, TUCSON, AZ 85713-6604
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
012430
AZ
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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