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Individual

GUY HLOMATCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2542 N JORDAN DR, TUCSON, AZ 85745-1132
(520) 551-2160
Mailing address
2542 N JORDAN DR, TUCSON, AZ 85745-1132

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5530
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH5530
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
09/26/2018
Last updated
09/26/2018
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