Individual
MARIAH MTHEMBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-7399
Mailing address
PO BOX 245073, TUCSON, AZ 85724-5073
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R79479
AZ
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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