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Individual

NERMINA RUSTEMPASIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 E DEER CANYON RD, TUCSON, AZ 85718-1094
(520) 307-9841
Mailing address
1301 E DEER CANYON RD, TUCSON, AZ 85718-1094
(520) 307-9841

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH4720
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH4720
AZ DEPT OF HEALTH SVCS
AZ
Enumeration date
12/14/2015
Last updated
12/14/2015
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