Individual
GUADALUPE BORBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5986 S HERPA DR, TUCSON, AZ 85706-4927
(619) 920-3029
Mailing address
5986 S HERPA DR, TUCSON, AZ 85706-4927
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6103
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6103
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
05/11/2020
Last updated
05/11/2020
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