Individual
MISTY VANCLEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-3293
Mailing address
1010 E 10TH ST, TUCSON, AZ 85719-5813
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
77267
NM
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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