Individual
MRS. ANEVAY DETTMER- DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7004 S CATCHFLY CT, TUCSON, AZ 85756-5170
(520) 861-8173
Mailing address
7004 S CATCHFLY CT, TUCSON, AZ 85756-5170
(520) 861-8173
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6234912
AZ
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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