Individual
GRACE MUHOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3656 S 64TH AVE, PHOENIX, AZ 85043-0140
(480) 395-3059
Mailing address
3656 S 64TH AVE, PHOENIX, AZ 85043-0140
(480) 395-3059
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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