Individual
NAOMI KANYUGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 E ODEUM LN, PHOENIX, AZ 85040-1292
(703) 785-4583
Mailing address
1017 E ODEUM LN, PHOENIX, AZ 85040-1292
(703) 785-4583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277773
AZ
Other
Enumeration date
11/08/2022
Last updated
11/11/2022
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