Individual
CONSOLEE NYIRAMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11024 N 28TH DR STE 110, PHOENIX, AZ 85029-4378
(602) 944-6222
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
11283764
AZ
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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