Provider Demographics
NPI:1427768480
Name:USECHE DE MUJICA, DULCE C (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:DULCE
Middle Name:C
Last Name:USECHE DE MUJICA
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 E MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8950
Mailing Address - Country:US
Mailing Address - Phone:480-264-3711
Mailing Address - Fax:877-725-3934
Practice Address - Street 1:1345 E MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8950
Practice Address - Country:US
Practice Address - Phone:480-264-3711
Practice Address - Fax:877-725-3934
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-30
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9700363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant