Individual
NICOLE ANDROMEDA SURRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-DMT
Contact information
Practice address
1717 N TUCSON BLVD, TUCSON, AZ 85716-3074
(520) 372-2672
Mailing address
1717 N TUCSON BLVD, TUCSON, AZ 85716-3074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225600000X
Dance Therapist
2895
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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