Individual
TIGIST T EJETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MIDWIFE
Contact information
Practice address
3111 E 4TH ST APT 152, TUCSON, AZ 85716-4528
(574) 220-7034
Mailing address
3111 E 4TH ST APT 152, TUCSON, AZ 85716-4528
(574) 220-7034
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM240
AZ
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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