Individual provider · NPI-1

Imani Board

Nurse's Aide · Phoenix, AZ

NPI number1295571339
StatusActive
Last updated in NPPESJul 8, 2024

Details

NPI
1295571339
Entity type
Individual (NPI-1)
Name
Imani Board
Sex
Female
Sole proprietor
No
Enumeration date
Jul 8, 2024
Certification date
Jul 8, 2024
Last updated
Jul 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide01124373AZYes

Practice location

3104 E Camelback Rd # 2306
Phoenix, AZ 85016-4502

Phone 951-877-3913

Mailing address

3104 E Camelback Rd # 2306
Phoenix, AZ 85016-4502

Phone 951-877-3913

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