Individual
JADE SUPAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2277 W PASEO LUNA, TUCSON, AZ 85742-9623
(520) 288-2881
Mailing address
2277 W PASEO LUNA, TUCSON, AZ 85742-9623
(520) 288-2881
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN155846
AZ
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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