Individual
MS. MELISSA PHILANA BUFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 E 23RD ST, TUCSON, AZ 85711
(520) 323-4605
Mailing address
INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC, 994 S HARRISON RD, TUCSON, AZ 85748
(520) 323-4605
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11930
AZ
385HR2055X
Child Mental Illness Respite Care
11930
AZ
Other
Enumeration date
02/23/2007
Last updated
11/19/2019
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