Individual
REGINA INCLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N PLUMER AVE, TUCSON, AZ 85719-5906
(520) 225-3284
Mailing address
102 N PLUMER AVE, TUCSON, AZ 85719-5906
(520) 225-3284
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
227673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227673
LPN LICENSE NUMBER
AZ
Enumeration date
03/01/2023
Last updated
03/01/2023
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