Individual
CHINE QUETZALCOATL TAN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
335 S OCOTILLO AVE, BENSON, AZ 85602-6406
(520) 586-4040
Mailing address
10659 E ROSE HILL ST, TUCSON, AZ 85747-5961
(520) 247-0451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218258
AZ
363LF0000X
Family Nurse Practitioner
F06221757
AZ
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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