Most Relevant Information
Provider Data
| NPI Number: | 1003076555 |
| Provider Name: | TAMARA RUTH JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2008 |
| Last Updated: | 06/09/2008 |
Provider Practice Location
9715 W CALLE CIBEQUE
TUCSON
AZ
857355008
Practice Location Phone/Fax
| Phone: | 5208835492 |
| Fax: |
Provider Mailing Location
9715 W CALLE CIBEQUE
TUCSON
AZ
857355008
Provider Mailing Phone/Fax
| Phone: | 5208835492 |
| Fax: |