Individual
REZA VAFAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1070 W SEA LION DR, TUCSON, AZ 85704-2542
(520) 971-5229
Mailing address
1070 W SEA LION DR, TUCSON, AZ 85704-2542
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6014
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6014
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
03/11/2020
Last updated
12/28/2020
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