Mr. Freddy Sisango
Mr. Freddy Sisango is a Substance Abuse Rehabilitation Facility in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3028 S 66th LnPhoenix, AZ 85043-5714
Phone: (602) 540-0437
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Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1124704341 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2023 |
| Last updated in NPPES | June 22, 2023 |
| Certification date | June 22, 2023 |
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