Individual
BERTHA SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHPP
Contact information
Practice address
1546 W LAMA DR, TUCSON, AZ 85746-3319
(520) 338-0830
Mailing address
870 W MIRACLE MILE, TUCSON, AZ 85705-3708
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1603945
AZ
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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