SearchArizona376G00000X

Carolyn Wanyama

NPI 1871029090 · on the registry since 2017

Practice

Address
44880 W Portabello Road
Maricopa, AZ 85139
Phone
(520) 494-2626

Registry record

Primary taxonomy
376G00000X
376G00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-05-08

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