Organization
IMMUNE RECOVERY AND WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHI ALVARADO (RECEPTIONIST)
(520) 751-0100
Entity
Organization
Contact information
Practice address
2122 N CRAYCROFT RD, SUITE 112, TUCSON, AZ 85712-2849
(520) 751-0100
(520) 751-0101
Mailing address
2122 N CRAYCROFT RD, SUITE 112, TUCSON, AZ 85712-2849
(520) 751-0100
(520) 751-0101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN036763
AZ
Other
Enumeration date
11/10/2010
Last updated
05/06/2011
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