Individual
SUSAN BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3686 W DOUBLE ADOBE RD, MC NEAL, AZ 85617-9503
(520) 975-9969
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8266964
AZ
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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