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Individual

SERAH NGARUIYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
935 S CERISE, MESA, AZ 85208-5875
(480) 669-0531
(480) 669-0531
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH10691
AZ
385H00000X
Respite Care
BH10691
AZ

Other

Enumeration date
05/05/2025
Last updated
05/05/2025
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