Individual
KUMAN TENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10039 N ROXBURY DR, ORO VALLEY, AZ 85737-7958
(520) 248-6393
Mailing address
10039 N ROXBURY DR, ORO VALLEY, AZ 85737-7958
(520) 248-6393
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6309
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6309
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
06/18/2017
Last updated
07/01/2020
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