SANDRA J MACON

TUCSON, AZ
NPI1144550120
Former NameSANDRA J MCPHERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: AZ  AP3538)
Additional Taxonomies176B00000X Midwife
(Licence: VA  0001159508)
Enumeration Date2010-01-13
Last Update Date2010-01-13
Business Address
-- SANDRA J MACON CNM
2595 N WYATT DR
TUCSON, AZ 85712-6104
Phone number: 520-795-9912
Mailing Address
-- SANDRA J MACON CNM
839 W CONGRESS ST
TUCSON, AZ 85745-2819
Phone number: 520-792-9890