Individual
SHIRLEY M GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2467 W WATERWAY PL, TUCSON, AZ 85705-4940
(520) 990-7017
Mailing address
1836 W DESERT BROOM LN, TUCSON, AZ 85705-2266
(520) 888-6960
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
QC5603486
AZ
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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