Individual
JARED SIVINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6767 E BROADWAY BLVD, TUCSON, AZ 85710-2806
(520) 290-0958
Mailing address
1510 E 9TH ST APT 113, TUCSON, AZ 85719-5564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022758
AZ
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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