NPI 1023725355

Divine Nyamasoso Mukiza

Practitioner Driver Glendale, AZ

Practice location

Address: 16630 N 43rd Ave APT 267, Glendale, AZ 85306-1543
Phone: (319) 383-9411

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1023725355
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2022
Record last updated: 7 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.