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Mushina Tillman
Contractor in Maricopa, Arizona
NPI 1154974814

Mushina Tillman is a Contractor based in Tucson, AZ. Mushina Tillman practices in Maricopa, AZ. The NPI Number for Mushina Tillman is 1154974814 and holds a License No. 8863183 (Arizona).

The current practice location address for Mushina Tillman is 19358 N Lousandra Dr, Maricopa, AZ and can be reached out via phone at 708-264-8280.

Location: 19358 N Lousandra Dr, Maricopa, AZ, 85748-6608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154974814
Provider Name
Mushina Tillman
Credential
Provider Entity Type
Individual
Gender
Female
Address
19358 N Lousandra Dr, Maricopa, AZ, 85748-6608
Phone Number
708-264-8280
Fax Number
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8863183 01 AZ THERAPEUTIC FOSTER CARE
institution
Provider Business Practice Location Address Details
Address
19358 N Lousandra Dr
City
Maricopa
State
Arizona
Zip
85138-5776
Phone Number
708-264-8280
Fax Number
person
Provider Business Mailing Address Details
Address
19358 N Lousandra Dr
City
Maricopa
State
Arizona
Zip
85138-5776
Phone Number
708-264-8280
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
8863183 (Arizona)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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