Individual
INES KIRUBUSA MULONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6338 N 69TH DR, GLENDALE, AZ 85303-3910
(623) 760-8398
Mailing address
6338 N 69TH DR, GLENDALE, AZ 85303-3910
(623) 760-8398
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
13255309
AZ
385HR2055X
Child Mental Illness Respite Care
13255309
AZ
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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