Individual
INGA BRIANNE SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
944 N DESERT AVE APT C, TUCSON, AZ 85711-2039
(801) 403-3783
(520) 407-5338
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 407-5338
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12226141
AZ
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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