Individual
MAIMUNA DJAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
457 W NOPAL AVE, MESA, AZ 85210-7415
(952) 412-6273
Mailing address
457 W NOPAL AVE, MESA, AZ 85210-7415
(952) 412-6273
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH9981
AZ
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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