Individual
KIMBERLY JO HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 S EVELYN AVE, TUCSON, AZ 85710-4439
(520) 497-9467
Mailing address
1 S EVELYN AVE, TUCSON, AZ 85710-4439
(520) 497-9467
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
AZ
Enumeration date
08/26/2021
Last updated
09/13/2021
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