Individual
JACQUELINE MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17688 S VERMILLION SUNSET DR, VAIL, AZ 85641-2733
(520) 207-4210
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2152273
AZ
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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