Individual
BINKOLELE BUKUNDJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7305 W CROWN KING RD, PHOENIX, AZ 85043-7271
(251) 487-3298
Mailing address
7305 W CROWN KING RD, PHOENIX, AZ 85043-7271
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH6935
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6935
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
11/12/2021
Last updated
11/12/2021
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