Individual
TERENCE KIBUKAMUSOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9227 W MEADOWBROOK AVE, PHOENIX, AZ 85037
(602) 359-1706
Mailing address
9227 W MEADOWBROOK AVE, PHOENIX, AZ 85037-2442
(602) 359-1706
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/29/2023
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