Individual
MARY LOU MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 W CALLE GARCIA, TUCSON, AZ 85706-5361
(520) 889-8360
Mailing address
517 W CALLE GARCIA, TUCSON, AZ 85706-5361
(520) 889-8360
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
738502
—
AZ
Enumeration date
11/20/2006
Last updated
07/26/2007
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