Individual
MELCHISEDECK UWUMWAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3707 E SOUTHERN AVE STE 1032, MESA, AZ 85206-6203
(872) 235-5424
Mailing address
5639 W WALATOWA ST, LAVEEN, AZ 85339-5707
(872) 235-5424
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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