Individual
TANAH KIZITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
736 S CATALINA ST, GILBERT, AZ 85233-7333
(646) 400-4558
Mailing address
736 S CATALINA ST, GILBERT, AZ 85233-7333
(646) 400-4558
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
26NH18591700
NJ
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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