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Individual

ROSEANNE CARRASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1224955
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1224955
PROFESSIONAL FOSTER CARE
AZ
Enumeration date
10/10/2008
Last updated
10/10/2008
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