Individual
DIANA N KIBUUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7460 E HACKAMORE LN, SAN TAN VALLEY, AZ 85143-0190
(267) 777-0457
Mailing address
7460 E HACKAMORE LN, SAN TAN VALLEY, AZ 85143-0190
(267) 777-0457
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN9501955
FL
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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