Individual
MARIE BAMPAMULOLWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2935 S KOLB RD, TUCSON, AZ 85730-1747
(520) 336-2904
Mailing address
2935 S KOLB RD, TUCSON, AZ 85730-1747
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6793
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6793
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
11/15/2021
Last updated
11/15/2021
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