Provider Demographics
NPI:1235271818
Name:MNGUNI, SIBONGILE (ND)
Entity Type:Individual
Prefix:
First Name:SIBONGILE
Middle Name:
Last Name:MNGUNI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:SIBONGILE
Other - Middle Name:
Other - Last Name:VERRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:7850 N SILVERBELL RD
Mailing Address - Street 2:114-257
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-8219
Mailing Address - Country:US
Mailing Address - Phone:602-373-9526
Mailing Address - Fax:520-999-3706
Practice Address - Street 1:3444 N COUNTRY CLUB RD
Practice Address - Street 2:120
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1200
Practice Address - Country:US
Practice Address - Phone:520-999-3707
Practice Address - Fax:520-999-3706
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3201225X00000X
AZ09-1169175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist