Individual
VERA SHURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 N ORACLE RD, TUCSON, AZ 85739-9554
(520) 275-8755
Mailing address
12995 N ORACLE RD # 141-135, TUCSON, AZ 85739-9528
(520) 275-8755
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
202297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202297
INTERNATIONA SPORTS SCIENCE ASSOCIATION PROFESSIONAL DIVISION
CA
Enumeration date
11/05/2013
Last updated
11/05/2013
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