Individual
RUGABIRWA HERI RUHORIMBERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2840 W LAMAR RD, PHOENIX, AZ 85017-1263
(602) 423-0569
Mailing address
7045 N 7TH ST APT 117, PHOENIX, AZ 85020-5399
(602) 423-0569
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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