Individual
MS. MARY GRACE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
435 E GLENN ST, TUCSON, AZ 85705-4664
(520) 616-1560
(520) 616-1561
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3335
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426515
—
AZ
Enumeration date
04/13/2009
Last updated
07/20/2015
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