Individual
KIMORA A BIZAHALONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 160 MP 394.3, KAYENTA, AZ 86033-0368
(928) 697-4100
(928) 697-4029
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4100
(928) 697-4029
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
—
AZ
376K00000X
Nurse's Aide
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
Enumeration date
11/17/2025
Last updated
11/17/2025
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