Individual
EDWARD RAY APODACA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC 3 BOX 956, TUCSON, AZ 85739-8632
(520) 825-2403
Mailing address
HC 3 BOX 956, TUCSON, AZ 85739-8632
(520) 825-2403
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1101504
AZ
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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