Individual
MS. KANYEBA LEILANI KABONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
6428 W SHAW BUTTE DR, GLENDALE, AZ 85304-2427
(480) 658-8513
Mailing address
6428 W SHAW BUTTE DR, GLENDALE, AZ 85304-2427
(480) 658-8513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
256903
AZ
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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