Individual
MICHELLE HAMBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2875 S PANTANO EDGE DR, TUCSON, AZ 85730-2047
(520) 461-4111
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7005970
AZ
Other
Enumeration date
11/04/2015
Last updated
08/02/2016
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