Rosa 'susie' Enriquez

NPI #1912059411 in Tucson, Arizona

Provider Information

NPI Number: 1912059411
Entity Type: Individual
Name: Rosa 'susie' Enriquez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 831 E 30TH ST
City: Tucson
State: Arizona
ZIP Code: 85713-3602
Phone: (520) 721-1887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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