NPI 1194588293
Jean Gasore
Practice location
- Address
- 9840 E Celeste Dr, Tucson, AZ 85730-3037
- Phone
- (520) 339-1149
- Mailing address
- 4000 N Central Ave STE 100, Phoenix, AZ 85012-3520
Registered specialties (2)
Mental Illness Community Based Residential Treatment Facility
Primary
Respite Care
Registry record
- NPI
- 1194588293
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Feb 2024
- Record last updated
- 1 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.