Individual
KIWANIS C HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6658 E BROADWAY BLVD, TUCSON, AZ 85710-3508
(520) 971-3681
Mailing address
6658 E BROADWAY BLVD, TUCSON, AZ 85710-3508
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5564
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5564
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
12/11/2018
Last updated
12/11/2018
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