Organization
PALO VERDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA DIANNE KENNISON RN (SCHOOL NURSE)
(520) 584-7417
Entity
Organization
Contact information
Practice address
1302 E. AVENIDA VEGA, TUCSON, AZ 85710
(520) 584-7417
(520) 584-7401
Mailing address
1302 S AVENIDA VEGA, TUCSON, AZ 85710-5101
(520) 584-7417
(520) 584-7401
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
RN158546
AZ
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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