Individual
BOB KABAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SKA-SHIFRA HOME
Contact information
Practice address
7136 N 73RD DR, GENDALE, AZ 85303
(623) 435-3976
Mailing address
7136 N 73RD DR, GLENDALE, AZ 85303-2569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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