Individual
RUTH LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4341 W PYRACANTHA DR, TUCSON, AZ 85741-3906
(419) 439-3404
Mailing address
1161 N EL DORADO PL STE 103, TUCSON, AZ 85715-4607
(520) 748-7108
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
253J00000X
Foster Care Agency
Primary
—
AZ
385HR2055X
Child Mental Illness Respite Care
6448722
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029343
—
AZ
Enumeration date
06/05/2015
Last updated
06/02/2021
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