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Individual

NANCY MWAURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
321 N 56TH PL, MESA, AZ 85205-5878
(480) 246-5221
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
(160) 285-9779

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
BH10420
AZ
385H00000X
Respite Care
Primary
BH10420
AZ

Other

Enumeration date
04/26/2022
Last updated
12/10/2024
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