Individual
NANA OWUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 E HUNTER DR, GLOBE, AZ 85501-1523
(623) 286-0210
Mailing address
210 E HUNTER DR, GLOBE, AZ 85501-1523
(623) 286-0210
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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