Individual
MRS. DORA PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3042 W. CAPISTRANO RD., TUCSON, AZ 85746
(520) 883-8453
Mailing address
870 W. MIRACLE MILE RD., TUCSON, AZ 85705
(520) 750-9667
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
675776
AZ
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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