Individual
NINA RAELEEN HERRERA BAJAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 694-0111
Mailing address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
240163
AZ
Other
Enumeration date
05/05/2020
Last updated
06/24/2020
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