Mary Ann Mwenja is a Respite Care based in Mesa, AZ. Mary Ann Mwenja practices in Mesa, AZ. The NPI Number for Mary Ann Mwenja is 1245753383 and holds a License No. BH5129 (Arizona).
The current practice location address for Mary Ann Mwenja is 1302 S Rico, Mesa, AZ and can be reached out via phone at 480-300-1432.
Location: 1302 S Rico, Mesa, AZ, 85204-6349
Provider Profile Details
NPI Number
1245753383
Provider Name
Mary Ann Mwenja
Credential
Provider Entity Type
Individual
Gender
Female
Address
1302 S Rico, Mesa, AZ, 85204-6349
Phone Number
480-300-1432
Fax Number
Provider Enumeration Date
07/20/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH5129 | 01 | AZ | AZ DEPT OF HEALTH SERVICES |
Provider Business Practice Location Address Details
Address
1302 S Rico
City
State
Zip
85204-6349
Phone Number
480-300-1432
Fax Number
Provider Business Mailing Address Details
Address
1302 S Rico
City
State
Zip
85204-6349
Phone Number
480-300-1432
Fax Number
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
BH5129 (Arizona)
Definition
Definition to come.
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