Individual
NELLY RADEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-5095
Mailing address
5301 E GRANT RD, TUCSON, AZ 85712-2805
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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