Healthcare Provider Details

I. General information

NPI: 1689427692
Provider Name (Legal Business Name): AUNNI'S HEALTH CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5075 N LA CANADA DR STE 137
TUCSON AZ
85704-2326
US

IV. Provider business mailing address

5075 N LA CANADA DR STE 137
TUCSON AZ
85704-2326
US

V. Phone/Fax

Practice location:
  • Phone: 520-293-1964
  • Fax: 520-887-5045
Mailing address:
  • Phone: 520-293-1964
  • Fax: 520-887-5045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: TASHANA MITCHELL
Title or Position: CEO/OWNER
Credential:
Phone: 520-401-5991