Individual
KODJO AKAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6944 E LURLENE DR, TUCSON, AZ 85730-1647
(520) 981-2458
Mailing address
6944 E LURLENE DR, TUCSON, AZ 85730-1647
(520) 981-2458
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5188
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5188
AZ DEPT. OF HEALTH SERVICES
AZ
Enumeration date
09/06/2017
Last updated
07/21/2022
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