Individual
AMOS KIGENYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4714 S OAK ST, TEMPE, AZ 85282-7246
(310) 894-3106
Mailing address
4714 S OAK ST, TEMPE, AZ 85282-7246
(310) 894-3106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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