Individual
JOHN MUTURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 E ELGIN ST, GILBERT, AZ 85295-8314
(602) 397-4718
(520) 296-8244
Mailing address
1410 E ELGIN ST, GILBERT, AZ 85295-8314
(602) 397-4718
(520) 296-8244
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5024
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5024
ARIZONA DEPT OF HEALTH SERVICES
AZ
Enumeration date
11/15/2016
Last updated
11/15/2016
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