Individual
HORTENSIA SHUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 COPPER SMITH ST, SIERRA VISTA, AZ 85635-5595
(520) 227-0990
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5912910
AZ
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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