Organization
RAYMOND W. BLISS HEALTH CEMTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GUADALUPE VAN HUSS LPN (NURSE)
(520) 538-1546
Entity
Organization
Contact information
Practice address
2240 E. WINROW AVE., MEDDAC, FT. HUACHUCA, AZ 85613
(520) 538-1546
Mailing address
600 CHANTILLY DR, SIERRA VISTA, AZ 85635-4732
(520) 459-6698
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
LP028575
AZ
Other
Enumeration date
02/08/2006
Last updated
08/22/2020
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