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Blaise Lolika
Respite Care in Tucson, Arizona
NPI 1164897567

Blaise Lolika is a Respite Care based in Tucson, AZ. Blaise Lolika practices in Tucson, AZ. The NPI Number for Blaise Lolika is 1164897567 and holds a License No. BH-4758 (Arizona).

The current practice location address for Blaise Lolika is 3130 S Portia Ave, Tucson, AZ and can be reached out via phone at 520-881-4813. You can also correspond with Blaise Lolika through the mailing address at 3130 S PORTIA AVE, TUCSON, AZ - 85730-1449 (mailing address contact number: 520-881-4813).

Location: 3130 S Portia Ave, Tucson, AZ, 85730-1449
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Provider Profile Details
NPI Number
1164897567
Provider Name
Blaise Lolika
Credential
Provider Entity Type
Individual
Gender
Male
Address
3130 S Portia Ave, Tucson, AZ, 85730-1449
Phone Number
520-881-4813
Fax Number
Provider Enumeration Date
12/10/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH-4758 01 AZ AZ DEPT OF HEALTH SVCS
institution
Provider Business Practice Location Address Details
Address
3130 S Portia Ave
City
State
Zip
85730-1449
Phone Number
520-881-4813
Fax Number
person
Provider Business Mailing Address Details
Address
3130 S Portia Ave
City
State
Zip
85730-1449
Phone Number
520-881-4813
Fax Number
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Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
BH-4758 (Arizona)
Definition
Definition to come.
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