Individual
CELYNESS COLINA PRATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2177 W BURLWOOD WAY, TUCSON, AZ 85745-7038
(787) 638-8519
Mailing address
2501 W BURBANK BLVD STE 200, BURBANK, CA 91505-2347
(818) 856-9535
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10211
AZ
363AM0700X
Medical Physician Assistant
PA-1410
PR
Other
Enumeration date
04/21/2023
Last updated
06/15/2024
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