Individual
MICHAEL RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9074 E SUGAR SUMAC ST, TUCSON, AZ 85747-5328
(520) 256-4257
Mailing address
9074 E SUGAR SUMAC ST, TUCSON, AZ 85747-5328
(520) 256-4257
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2170780
AZ
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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