KWESI LEE KORANTENG IMMANUEL

CASA GRANDE, AZ
NPI1952267775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  254947)
Enumeration Date2025-12-26
Last Update Date2026-06-09
Business Address
KWESI LEE KORANTENG IMMANUEL PMHNP
818 E WILEY WAY
CASA GRANDE, AZ 85122-1218
Phone number: 520-371-0846
Mailing Address
KWESI LEE KORANTENG IMMANUEL PMHNP
818 E WILEY WAY
CASA GRANDE, AZ 85122-1218
Phone number: 520-371-0846