Organization
HOPE OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEUDONNE NKEZABAHIZI (ADMINISTRATOR)
(520) 771-6702
Entity
Organization
Contact information
Practice address
2819 E BROADWAY BLVD, TUCSON, AZ 85716-5309
(520) 771-6702
Mailing address
9378 W SPIDER AGAVE RD, MARANA, AZ 85653-0117
(520) 771-6702
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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