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Individual

CHARLOTTE NSABAKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8210 E MESQUITE RIDGE CIR, TUCSON, AZ 85710-4276
(520) 302-1941
Mailing address
8210 E MESQUITE RIDGE CIR, TUCSON, AZ 85710-4276
(520) 302-1941

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5084
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BH5084
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
01/17/2017
Last updated
01/17/2017
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