Individual
TULSI BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5312 JAGUAR DR, SANTA FE, NM 87507-1827
(505) 471-4985
(505) 471-6084
Mailing address
450 W COOL DR APT 201, TUCSON, AZ 85704-6464
(707) 684-9644
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R56638
NM
225700000X
Massage Therapist
Primary
MT-30213
AZ
Other
Enumeration date
08/09/2018
Last updated
10/04/2024
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