Individual
MS. JULIA LAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1132 E 12TH ST, DOUGLAS, AZ 85607-2337
(520) 364-2447
(520) 224-2430
Mailing address
1132 E 12TH ST, DOUGLAS, AZ 85607-2337
(520) 364-2447
(520) 224-2430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN020024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-0718412
—
AZ
Enumeration date
09/06/2016
Last updated
09/06/2016
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