Individual
MGCINI ISRAEL NDIWENI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
247 N 152ND DR, GOODYEAR, AZ 85338-2959
(480) 498-0424
Mailing address
247 N 152ND DR, GOODYEAR, AZ 85338-2959
(480) 498-0424
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
010922
AZ
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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