Individual
DICKSON NGANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3031 N 64TH ST, MESA, AZ 85215-0925
(623) 759-9177
(480) 504-2102
Mailing address
3031 N 64TH ST, MESA, AZ 85215-0925
(623) 759-9177
(480) 504-2102
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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