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Individual

KAMEHA ST PETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3920 E 5TH ST, TUCSON, AZ 85711-1917
(520) 471-0283
Mailing address
699 W MAGEE RD APT 13104, TUCSON, AZ 85704-4669
(520) 906-7506

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
911-87726-04
UNITED HEALTHCARE
Enumeration date
04/19/2019
Last updated
04/19/2019
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