Individual
TWAFIKA GABRIEL IGULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2935 S KOLB RD, TUCSON, AZ 85730-1747
(520) 404-3385
Mailing address
2935 S KOLB RD, TUCSON, AZ 85730-1747
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5782
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5782
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
08/02/2019
Last updated
08/02/2019
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