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Individual

MASRESHA G AKALU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2122 N CRAYCROFT RD, SUITE 102, TUCSON, AZ 85712-2849
(520) 722-2400
(520) 323-7531
Mailing address
2122 N CRAYCROFT RD, SUITE 102, TUCSON, AZ 85712-2849
(520) 722-2400
(520) 323-7531

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN145993
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
684438
AZ
Enumeration date
02/20/2012
Last updated
03/25/2013
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