Provider Demographics
NPI:1184732505
Name:CALICA, EMILY TERESA (CSA)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:TERESA
Last Name:CALICA
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 17536
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85731-7536
Mailing Address - Country:US
Mailing Address - Phone:520-245-0160
Mailing Address - Fax:520-509-3719
Practice Address - Street 1:12125 E QUESADA PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-8325
Practice Address - Country:US
Practice Address - Phone:520-314-8292
Practice Address - Fax:520-509-3719
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant