| NPI | 1821722778 |
|---|---|
| Other Name | MWC |
| Other Name | MIREILLE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIREILLE MUKIZA Owner 623-314-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |