Individual
JACKIE L FIRKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12335 E SUTTER MILL ST, TUCSON, AZ 85749-9724
(520) 207-1333
Mailing address
12335 E SUTTER MILL ST, TUCSON, AZ 85749-9724
(520) 207-1333
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
4393
AZ
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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