Individual
ILEANA DESPINA MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
HWY 86 AND TOPAWA ROAD, SELLS, AZ 85634
(520) 383-7200
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2503
(520) 295-2676
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN 224671
CA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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