Individual
MRS. ELMA SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHPP
Contact information
Practice address
323 W 41ST ST, TUCSON, AZ 85713-5835
(520) 780-8089
Mailing address
870 W MIRACLE MILE, TUCSON, AZ 85705-3708
(520) 750-9667
(520) 750-0056
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1890994
AZ
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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