SearchArizona171W00000X

Jean Ukulikiyeyezu

NPI 1699133603 · on the registry since 2016 · sole proprietor

Practice

Address
808 S Jerrie Ave
Tucson, AZ 85711
Phone
(520) 406-2978
Fax
(520) 721-0069
Organisation at this address
Eagle Home
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-02-04

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