Individual
JEAN DE DIEU NTABANGANYIMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10835 N 25TH AVE STE 125, PHOENIX, AZ 85029-3461
(480) 426-9335
Mailing address
10835 N 25TH AVE STE 125, PHOENIX, AZ 85029-3461
(480) 426-9335
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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