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Individual

WAYNE CUMMINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1475 N WILMOT RD APT 35, TUCSON, TUCSON, AZ 85712-4452
(520) 519-9380
Mailing address
1475 N WILMOT RD APT 35, TUCSON, TUCSON, AZ 85712-4452
(520) 519-9380

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH-4708
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH-4708
AZ DEPT OF HEALTH SVCS
AZ
Enumeration date
11/16/2015
Last updated
11/16/2015
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