Individual
MS. MARY JANE BANWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 629-4607
Mailing address
3737 N COUNTRY CLUB RD # 202SOUTH, TUCSON, AZ 85716-1232
(520) 327-2290
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
—
IL
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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