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Individual

MR. GEORGE MUNYAGA NYAMU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2828 W GOLDFIELD DR, TUCSON, AZ 85745-3502
(206) 306-3632
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 372-7126

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BH8372
AZ
3104A0625X
Assisted Living Facility (Mental Illness)
AL11941H
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D42205954
DRIVERS LICENSE
AZ
Enumeration date
09/04/2021
Last updated
06/15/2023
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