NPI 1033886338

Justin Mabany

Practitioner Assisted Living Facility (Behavioral Disturbances) Phoenix, AZ

Practice location

Address: 9525 W Minnezona Ave, Phoenix, AZ 85037-1349
Phone: (623) 872-5454

Registered specialties

Assisted Living Facility (Behavioral Disturbances) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0630X Licence BH6750 (AZ)

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Registry record

NPI: 1033886338
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2021
Record last updated: 24 Aug 2021

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.