Individual
MMASA TUSINGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4321 W VISTA AVE, GLENDALE, AZ 85301-1669
(480) 735-9598
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH7213
AZ
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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