Individual
MRS. MONICA MAYORGA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3645 E PIMA ST, TUCSON, AZ 85716-3320
(520) 232-8417
Mailing address
1607 S 8TH AVE, TUCSON, AZ 85713-2859
(520) 882-4363
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP036558
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161861
—
AZ
Enumeration date
05/23/2007
Last updated
07/08/2007
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