Individual
SANDRA JEANNE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W AJO WAY, TUCSON, AZ 85713-6035
(520) 225-1717
Mailing address
591 S DESERT HAVEN RD, VAIL, AZ 85641-2811
(334) 362-3476
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
756806
TX
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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