Individual
FLORENCE W MUCHIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10550 E WAVELENGTH AVE, MESA, AZ 85212-8702
(205) 240-2520
Mailing address
10550 E WAVELENGTH AVE, MESA, AZ 85212-8702
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6735
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6735
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
04/14/2021
Last updated
04/14/2021
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