Individual
JUANITA HAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8125 E VICTORIA DR, TUCSON, AZ 85730-3536
(520) 790-5258
Mailing address
8125 E VICTORIA DR, TUCSON, AZ 85730-3536
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH3327
AZ
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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