Individual
MARY WAMBAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6652 E CALLE HERCULO, TUCSON, AZ 85710-5622
(520) 248-1919
(520) 745-5361
Mailing address
6652 E CALLE HERCULO, TUCSON, AZ 85710-5622
(520) 248-1919
(520) 745-5361
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH9519
AZ
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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