Individual
MIHAILA ENE-NRAGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4935 W BUCKSKIN TRL, PHOENIX, AZ 85083-2222
(480) 349-9063
Mailing address
4935 W BUCKSKIN TRL, PHOENIX, AZ 85083-2222
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12127H
AZ
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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