GRACE KWAMBOKA MASIOGE

PHOENIX, AZ
NPI1386463271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AZ  313804)
Enumeration Date2024-10-08
Last Update Date2024-10-08
Business Address
GRACE KWAMBOKA MASIOGE
5102 W CAMPBELL AVE
PHOENIX, AZ 85031-1703
Phone number: 480-344-2054
Mailing Address
GRACE KWAMBOKA MASIOGE
4633 N 111TH LN
PHOENIX, AZ 85037-8335
Phone number: 623-986-2636
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