Individual
REYNALDO MENDIBLES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7475 E RIO VISTA CIR, TUCSON, AZ 85715-3547
(520) 304-1502
Mailing address
7475 E RIO VISTA CIR, TUCSON, AZ 85715-3547
(520) 304-1502
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12291H
AZ
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
AL12291H
AZ
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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