SearchArizona347C00000X

Prince Mabiala

NPI 1124384045 · on the registry since 2012 · sole proprietor

Practice

Address
2575 N Country Club Rd Apt A4
Tucson, AZ 85716
Phone
(520) 808-3775
Fax
(520) 748-2355

Registry record

Primary taxonomy
347C00000X
347C00000X
Also registered as
343900000X
347C00000X
347C00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona