Individual
TOMMY TAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9231 E DOLORES ST, TUCSON, AZ 85730-2132
(520) 834-5821
Mailing address
9231 E DOLORES ST, TUCSON, AZ 85730-2132
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5347
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5347
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
07/28/2018
Last updated
07/28/2018
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