Individual
WENDY LEE CANTANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7701 E WAVERLY ST, TUCSON, AZ 85715-4233
(520) 982-7675
(520) 296-8244
Mailing address
7701 E WAVERLY ST, TUCSON, AZ 85715-4233
(520) 982-7675
(520) 296-8244
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2993134
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2993134
OLCR FOSTER CARE LICENSE
AZ
Enumeration date
06/13/2011
Last updated
06/13/2011
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