Individual
DEBORAH DE LA OSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9033
(520) 533-5328
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9033
(520) 533-5328
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
LP049093
AZ
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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