Individual
MRS. SOCORRO HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4453 S VALLEY RD, TUCSON, AZ 85714-1146
(520) 889-2620
Mailing address
4453 S VALLEY RD, TUCSON, AZ 85714-1146
(520) 889-2620
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
5783
AZ
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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