Individual
BLANCA HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
606 N COUNTRY CLUB, #1, MESA, AZ 85201
(480) 733-4432
(480) 969-0976
Mailing address
6195 E 47TH ST, #1, YUMA, AZ 85365-6352
(520) 870-2436
(928) 726-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3626
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
3626
AZ
Other
Enumeration date
08/09/2007
Last updated
03/09/2020
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