Individual
TINA MESSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8325 E PENA BLANCA DR, TUCSON, AZ 85730-1213
(529) 344-1044
Mailing address
8325 E PENA BLANCA DR, TUCSON, AZ 85730-1213
(529) 344-1044
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6184
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6184
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
07/03/2020
Last updated
07/03/2020
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