Individual
MRS. SAUNDRA LEE FAHRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
492 SO BLUE RIVER LOOP, VAIL, AZ 85641-2262
(520) 762-1552
Mailing address
12415 E SUTTER MILL ST, TUCSON, AZ 85749-8209
(520) 749-5271
(520) 749-5246
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
RN037908
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140484
AHCCS THRU DDD
AZ
Enumeration date
10/16/2006
Last updated
07/08/2007
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