Individual
NZAYISENGA JOSEPH MUHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8646 W MONTECITO AVE, PHOENIX, AZ 85037-1836
(602) 757-1042
Mailing address
8646 W MONTECITO AVE, PHOENIX, AZ 85037-1836
(602) 757-1042
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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