Organization
SKA-SHIFRA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB KABAMBA (PRO)
(623) 282-0663
Entity
Organization
Contact information
Practice address
926 S 176TH AVE, GOODYEAR, AZ 85338-4613
(623) 282-0663
Mailing address
7136 N 73RD DR, GLENDALE, AZ 85303-2569
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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