Individual
MR. USMAN JAWA BUNDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
18224 N 168TH AVE, SURPRISE, AZ 85374-6868
(602) 918-0408
(623) 444-6989
Mailing address
18224 N 168TH AVE, SURPRISE, AZ 85374-6868
(602) 918-0408
(623) 444-6989
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH-3442
AZ
Other
Enumeration date
09/13/2009
Last updated
09/13/2009
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