Individual
ROCHELLE ANN KILMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12916 W BUTTER BUSH ST, TUCSON, AZ 85743-7269
(520) 870-1213
Mailing address
12916 W BUTTER BUSH ST, TUCSON, AZ 85743-7269
(520) 870-1213
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2975453
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2975453
OLCR LICENSE
AZ
Enumeration date
07/26/2013
Last updated
07/26/2013
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