Organization
SIERRA VISTA PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA JANE XENOS (RN)
(520) 515-2986
Entity
Organization
Contact information
Practice address
1313 S. LENZNER, SIERRA VISTA, AZ 85635
(520) 515-2980
(520) 515-2985
Mailing address
1313 S LENZNER AVE, SIERRA VISTA, AZ 85635-4878
(520) 515-2980
(520) 515-2985
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
RN111990
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579633
—
AZ
Enumeration date
09/10/2009
Last updated
09/10/2009
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