Organization
PRO AMANI TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET WAITHAKA (CEO)
(951) 591-8544
Entity
Organization
Contact information
Practice address
11120 W VAN BUREN ST APT 2071, AVONDALE, AZ 85323-0008
(951) 591-8544
Mailing address
11120 W VAN BUREN ST APT 2071, AVONDALE, AZ 85323-0008
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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