Individual
MRS. JOYCE JANE N KARUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 W SWEET SHRUB AVE, QUEEN CREEK, AZ 85140-6646
(573) 529-6198
Mailing address
215 W SWEET SHRUB AVE, QUEEN CREEK, AZ 85140-6646
(573) 529-6198
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH6408
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D11041304
DMV
AZ
Enumeration date
03/09/2021
Last updated
03/09/2021
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