Individual
LINDA VANDENHEUVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N CARIBE AVE, TUCSON, AZ 85710-1254
(520) 904-4983
Mailing address
840 N CARIBE AVE, TUCSON, AZ 85710-1254
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH7142
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH7142
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
11/15/2021
Last updated
11/15/2021
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