Individual
LUZ VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 S MAGNOLIA AVE, TUCSON, AZ 85711-6531
(520) 982-3032
Mailing address
1929 S MAGNOLIA AVE, TUCSON, AZ 85711-6531
(520) 982-3032
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2050594
AZ
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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