Tiny Residence, LLC

NPI #1639866957 in Casa Grande, Arizona

Provider Information

NPI Number
1639866957
Entity Type
Organization
Organization Name
Tiny Residence, LLC
Primary Specialty
Registered Nurse
Enumeration Date
Apr 18, 2023
Last Updated
Apr 18, 2023

Practice Location

Address
1354 E RACINE DR
State
Arizona
ZIP Code
85122-6786
Phone
(520) 553-9964

Authorized Official

Name
MARYJANE O LUHUMBU, NP
Title
PRESIDENT/ OWNER
Phone
(520) 350-0123

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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