Individual
MIRANDA AFIDAYI USONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4254 W ORCHID LN, CHANDLER, AZ 85226-7246
(888) 731-8994
(888) 732-8119
Mailing address
4254 W ORCHID LN, CHANDLER, AZ 85226-7246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95008106
CA
Other
Enumeration date
04/18/2018
Last updated
08/25/2025
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