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
- City
- Casa Grande
- 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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