Individual
HENRI NTEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7271 E ALDERBERRY ST, TUCSON, AZ 85756-6132
(520) 272-4880
Mailing address
7271 E ALDERBERRY ST, TUCSON, AZ 85756-6132
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5193
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5193
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
11/03/2017
Last updated
11/03/2017
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