Individual
MARIE KALUNGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 W PEBBLE RD UNIT 501, LAS VEGAS, NV 89123-6564
(702) 521-7745
Mailing address
5526 W WALATOWA ST, LAVEEN, AZ 85339-5497
(702) 521-7745
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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