NPI 1376835561

John Charles Waite

Practitioner Foster Care Agency Tucson, AZ

Practice location

Address: 8501 E Shiloh St, Tucson, AZ 85710-2941
Phone: (520) 490-5906
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 2838615 (AZ)

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Registry record

NPI: 1376835561
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 May 2011
Record last updated: 13 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.