Individual
MA MARICEL BAUTISTA MONGCUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HIGHWAY 86 & TOPAWA RD, SELLS, AZ 85634
(520) 383-7330
Mailing address
2800 S MISSION RD APT 12206, TUCSON, AZ 85713-3186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59536
NM
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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