Healthcare Provider Details

I. General information

NPI: 1245919364
Provider Name (Legal Business Name): RONDA ZUNIGA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 07/17/2023
Certification Date: 07/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7563 E DESERT ANCHOR BLVD
TUCSON AZ
85715-3641
US

IV. Provider business mailing address

3601 S 6TH AVE
TUCSON AZ
85723-0001
US

V. Phone/Fax

Practice location:
  • Phone: 520-440-7827
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-21692
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: