Individual
ALICIA MODICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45012 W HONEYCUTT AVE, MARICOPA, AZ 85239-2842
(520) 560-5100
(520) 568-5151
Mailing address
45012 W HONEYCUTT AVE, MARICOPA, AZ 85239-2842
(520) 568-5100
(520) 568-5151
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
14N00000X
AZ
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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