Individual
KENNE CAMEROUNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 S PINEVIEW PL, CHANDLER, AZ 85226-8627
(928) 777-3280
(928) 717-1660
Mailing address
90 S PINEVIEW PL, CHANDLER, AZ 85226-8627
(928) 777-3280
(928) 717-1660
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
7822741
AZ
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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