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Organization

GARDEN OF HOPE PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONIFACE GITAU CERTIFIED NP (MANAGER)
(316) 768-7991
Entity
Organization

Contact information

Practice address
2504 ASHFORD DR, CLOVIS, NM 88101-4436
(316) 768-7991
Mailing address
2504 ASHFORD DR, CLOVIS, NM 88101-4436
(316) 768-7991

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/18/2022
Last updated
05/18/2022
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