Individual
MARCELA BECERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38061 W LA PAZ ST, MARICOPA, AZ 85138-4187
(480) 410-0174
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
9959519
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9959519
THERAPEUTIC FOSTER CARE
AZ
Enumeration date
01/17/2020
Last updated
01/17/2020
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