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Alice Mbuthia
Respite Care in San Tan Valley, Arizona
NPI 1114499373

Alice Mbuthia is a Respite Care based in San Tan Valley, AZ. Alice Mbuthia practices in San Tan Valley, AZ. The NPI Number for Alice Mbuthia is 1114499373 and holds a License No. BH5527 (Arizona).

The current practice location address for Alice Mbuthia is 2663 E Omega Dr, San Tan Valley, AZ and can be reached out via phone at 480-452-5318.

Location: 2663 E Omega Dr, San Tan Valley, AZ, 85143-4625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114499373
Provider Name
Alice Mbuthia
Credential
Provider Entity Type
Individual
Gender
Female
Address
2663 E Omega Dr, San Tan Valley, AZ, 85143-4625
Phone Number
480-452-5318
Fax Number
Provider Enumeration Date
12/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH5527 01 AZ AZ DEPT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
2663 E Omega Dr
City
San Tan Valley
State
Arizona
Zip
85143-4625
Phone Number
480-452-5318
Fax Number
person
Provider Business Mailing Address Details
Address
2663 E Omega Dr
City
San Tan Valley
State
Arizona
Zip
85143-4625
Phone Number
480-452-5318
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
BH5527 (Arizona)
Definition
Definition to come.
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