Search › Arizona › 374U00000X
Tanah Kizito
NPI 1700584026 · on the registry since 2023 · sole proprietor
Practice
- Address
- 736 S Catalina St
Gilbert, AZ 85233 - Phone
- (646) 400-4558
- Organisation at this address
- Ki-Ezy Changes
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-16
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