NPI 1578050787

Jose Antonio Pesqueira

Practitioner Contractor Nogales, AZ

Practice location

Address: 800 E Baffert Dr APT W101, Nogales, AZ 85621-4210
Phone: (520) 980-2320
Mailing address: 994 S Harrison Rd, Tucson, AZ 85748-6608

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 7784629 (AZ)

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Registry record

NPI: 1578050787
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2018
Record last updated: 13 Apr 2018

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.