MANNIX ISAIAS CONSOLACION

TUCSON, AZ
NPI1023582376
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  220791)
Enumeration Date2019-01-18
Last Update Date2021-07-06
Business Address
Mr. MANNIX ISAIAS CONSOLACION FNP
5475 S BRAIDED WASH DR
TUCSON, AZ 85747-6094
Phone number: 520-576-0348
Mailing Address
Mr. MANNIX ISAIAS CONSOLACION FNP
2732 N ALVERNON WAY
TUCSON, AZ 85712-1804
Phone number: 520-382-3330