Individual
EMILIE NO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 694-8888
Mailing address
944 CENTENNIAL ST APT 4, LOS ANGELES, CA 90012-1347
(949) 485-1659
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R4044
AZ
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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