Individual
MARIA ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 W LINCOLN ST, TUCSON, AZ 85714-1422
(520) 620-1055
(520) 750-0056
Mailing address
226 W LINCOLN ST, TUCSON, AZ 85714-1422
(520) 620-1055
(520) 750-0056
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
9525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9525
—
AZ
Enumeration date
09/13/2008
Last updated
09/13/2008
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