Individual
GINA HAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 S VOZACK LN, TUCSON, AZ 85748-4505
(520) 647-4033
Mailing address
441 S VOZACK LN, TUCSON, AZ 85748-4505
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6412
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6412
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
10/05/2020
Last updated
10/05/2020
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