Ileana Despina Marin LPN

NPI 1124207386 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1124207386
Gender Female
Enumeration Date 10/24/2007
Last Updated 10/24/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
HWY 86 AND TOPAWA ROAD
SELLS AZ, 85634, US
Phone (520) 383-7200
Fax
Business Location
7900 S J STOCK RD
TUCSON AZ, 85746-7012, US
Phone (520) 295-2503
Fax (520) 295-2676
Toxanomy
Taxonomy Code 164W00000X
License State California
License Number VN 224671
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According to our database, Ileana Despina Marin LPN NPI is 1124207386, taxonomy code is 164W00000X and license number is VN 224671, license state is located at California. Ileana Despina Marin LPN physically located at Hwy 86 And Topawa Road, Sells AZ, 85634. NPI Number Ileana Despina Marin LPN has the Individual type.

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1124207386 NPI number is provided on an as is basis without warranty of any kind. 1124207386 is maintained by the National Plan & Provider Enumeration System. The contents of Ileana Despina Marin LPN are for informational purposes only.