Individual
JESSICA NUESTRO REPOLDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5663 E GRANT RD, TUCSON, AZ 85712-2211
(520) 433-4964
Mailing address
5663 E GRANT RD, TUCSON, AZ 85712-2211
(520) 433-4964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
270113
AZ
Other
Enumeration date
03/01/2022
Last updated
03/13/2022
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