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Krysten Provencio
Student in an Organized Health Care Education/Training Program in Tucson, Arizona
NPI 1770350761

Krysten Provencio is a Student in an Organized Health Care Education/Training Program based in Tucson, AZ. Krysten Provencio practices in Tucson, AZ. The NPI Number for Krysten Provencio is 1770350761 and holds a License No. (Arizona).

The current practice location address for Krysten Provencio is 7612 N Lundberg Dr, Tucson, AZ and can be reached out via phone at 928-322-2714.

Location: 7612 N Lundberg Dr, Tucson, AZ, 85741-1751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770350761
Provider Name
Krysten Provencio
Credential
Provider Entity Type
Individual
Gender
Female
Address
7612 N Lundberg Dr, Tucson, AZ, 85741-1751
Phone Number
928-322-2714
Fax Number
Provider Enumeration Date
12/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7612 N Lundberg Dr
City
Tucson
State
Arizona
Zip
85741-1751
Phone Number
928-322-2714
Fax Number
person
Provider Business Mailing Address Details
Address
7612 N Lundberg Dr
City
Tucson
State
Arizona
Zip
85741-1751
Phone Number
928-322-2714
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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