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NPI 1023725355

IndividualActive

Divine Mukiza

NPI 1023725355 · Driver · Glendale, AZ

Provider details

NPI number: 1023725355
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Female
Sole proprietor: No

Practice location

16630 N 43rd Ave Apt 267

Glendale, AZ 85306-1543

Phone: (319) 383-9411

More AZ providers

Mailing address

16630 N 43rd Ave Apt 267

Glendale, AZ 85306-1543

Registry dates

Enumerated: 2022-11-07
Last updated: 2022-11-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Divine Mukiza — NPI 1023725355, Glendale, AZ | NPI Central