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Individual

MILISENTH ZETINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7676 E QUEEN PALM CIR, TUCSON, AZ 85730-3419
(520) 891-6957
Mailing address
7676 E QUEEN PALM CIR, TUCSON, AZ 85730-3419

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6923
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH6923
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
11/12/2021
Last updated
11/12/2021
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