Individual
ANGELIQUE MUKUNZI KAMAGAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7932 W HILTON AVE, PHOENIX, AZ 85043-7418
(623) 972-0191
(623) 440-2427
Mailing address
7932 W HILTON AVE, PHOENIX, AZ 85043-7418
(623) 972-0191
(623) 440-2427
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
AL11290H
AZ
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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