Organization
EL CON HEALTH & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MENA LATKAS (OWNER)
(520) 990-8383
Entity
Organization
Contact information
Practice address
3402 E BROADWAY BLVD, TUCSON, AZ 85716-5406
(520) 318-5515
(520) 318-5518
Mailing address
1402 E PLACITA MESETA DORADA, ORO VALLEY, AZ 85755-8683
(520) 990-8382
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86009009
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN068985
AZ
Other
Enumeration date
06/29/2015
Last updated
05/11/2016
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