NPI 1245375005

Victor M Serna

Practitioner Foster Care Agency Tucson, AZ

Practice location

Address: 9429 E Myra Dr, Tucson, AZ 85730-2941
Phone: (520) 298-0770
Mailing address: 1161 N El Dorado Pl STE 103, Tucson, AZ 85715-4607

Registered specialties (2)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

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Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X Licence 3922 (AZ)

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Registry record

NPI: 1245375005
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2007
Record last updated: 20 Aug 2021

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.