Individual
VIVIAN CHILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 S CAMINO ESCARPADO, TUCSON, AZ 85746-8319
(520) 908-0261
Mailing address
7601 S CAMINO ESCARPADO, TUCSON, AZ 85746-8319
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
3942
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3942
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
07/09/2019
Last updated
07/09/2019
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