Individual
BOUBA HAMADOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2602 W KIMBERLEY ST, TUCSON, AZ 85705-1122
(520) 551-2742
Mailing address
2602 W KIMBERLEY ST, TUCSON, AZ 85705-1122
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B145726633
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485511
—
AZ
Enumeration date
01/20/2016
Last updated
01/20/2016
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