SALIM OTIENO ODIERO

MESA, AZ
NPI1144836669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AZ  BH5615)
Enumeration Date2020-09-21
Last Update Date2020-09-21
Business Address
MR. SALIM OTIENO ODIERO
9138 E DENNIS ST
MESA, AZ 85207-6008
Phone number: 480-380-4413
Mailing Address
MR. SALIM OTIENO ODIERO
9138 E DENNIS ST
MESA, AZ 85207-6008
Phone number: 480-380-4413