Individual
MR. VICTOR M SERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9429 E MYRA DR, TUCSON, AZ 85730-2941
(520) 298-0770
Mailing address
1161 N EL DORADO PL STE 103, TUCSON, AZ 85715-4607
(520) 748-7108
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
3922
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
745432
—
AZ
Enumeration date
02/20/2007
Last updated
08/20/2021
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