Individual
HENRY DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7524 S VIA HERMOSA, TUCSON, AZ 85746-8338
(520) 883-4534
Mailing address
7524 S VIA HERMOSA, TUCSON, AZ 85746-8338
(520) 883-4534
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
779183
AZ
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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