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Victor M Serna

Foster Care Agency in Tucson, AZ. Individual provider (NPI-1).

NPI number1245375005
StatusActive
Last updated in NPPESAug 20, 2021

Details

NPI
1245375005
Entity type
Individual (NPI-1)
Name
Mr. Victor M Serna
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 20, 2007
Certification date
Aug 20, 2021
Last updated
Aug 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253J00000X Foster Care Agency––Yes
385HR2055X Respite Care, Respite Care, Mental Illness, Child3922AZ

Practice location

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

Phone 520-748-7108

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