Individual
MARIA OSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2665 N AL HARRISON RD APT B, NOGALES, AZ 85621-4065
(520) 604-0380
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5446388
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5446388
FOSTER CARE LICENSURE
AZ
Enumeration date
08/25/2017
Last updated
08/25/2017
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