Individual
ANGELA L. KIYAANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HT
Contact information
Practice address
167 N. MAIN ST., TUBA CITY, AZ 86045-0600
(928) 283-2748
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2748
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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