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NPI Code Detail

MEDICARE: MRS. MONICA ARLETT BUENSUCESO MA

MEDICARE:  MRS. MONICA ARLETT BUENSUCESO  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YS0200XSchool Counselor3639584AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1124383OTHERAZAHCCCS PROVIDER ID

General Provider Information

NPI Number : 1184717449
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONICA ARLETT BUENSUCESO MA
Provider Business Mailing Address
First Line : 1612 S 233RD AVE
Second Line :
City : BUCKEYE
State : AZ
Zip : 85326-4058
Country : US
Telephone Number : 623-386-1625
Fax Number :
Provider Business Practice Location Address
First Line : 9261 W VAN BUREN ST
Second Line :
City : TOLLESON
State : AZ
Zip : 85353-2941
Country : US
Telephone Number : 623-907-5270
Fax Number : 623-907-5271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MONICA ARLETT BUENSUCESO MA” Practice Location

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