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Divine Nyamasoso Mukiza
Driver in Glendale, Arizona
NPI 1023725355

Divine Nyamasoso Mukiza is a Driver based in Glendale, AZ. Divine Nyamasoso Mukiza practices in Glendale, AZ. The NPI Number for Divine Nyamasoso Mukiza is 1023725355 and holds a License No. (Arizona).

The current practice location address for Divine Nyamasoso Mukiza is 16630 N 43Rd Ave Apt 267, Glendale, AZ and can be reached out via phone at 319-383-9411.

Location: 16630 N 43Rd Ave Apt 267, Glendale, AZ, 85306-1543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023725355
Provider Name
Divine Nyamasoso Mukiza
Credential
Provider Entity Type
Individual
Gender
Female
Address
16630 N 43Rd Ave Apt 267, Glendale, AZ, 85306-1543
Phone Number
319-383-9411
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16630 N 43Rd Ave Apt 267
City
Glendale
State
Arizona
Zip
85306-1543
Phone Number
319-383-9411
Fax Number
person
Provider Business Mailing Address Details
Address
16630 N 43Rd Ave Apt 267
City
Glendale
State
Arizona
Zip
85306-1543
Phone Number
319-383-9411
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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