Individual
PETRA ROSA MOJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14574 S SUNLAND GIN RD, ARIZONA CITY, AZ 85123
(520) 387-5651
Mailing address
410 N MALACATE ST, AJO, AZ 85321-2254
(520) 387-6036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
280587
AZ
363LF0000X
Family Nurse Practitioner
F0621181
TX
363LF0000X
Family Nurse Practitioner
F06211981
AZ
Other
Enumeration date
07/07/2021
Last updated
09/25/2024
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