Provider Demographics
NPI:1801698790
Name:MUGIRANEZA, SONIA ISHIMWE
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:ISHIMWE
Last Name:MUGIRANEZA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1770 PIPER LN APT 207
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-5035
Mailing Address - Country:US
Mailing Address - Phone:937-430-0295
Mailing Address - Fax:
Practice Address - Street 1:1770 PIPER LN APT 207
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-5035
Practice Address - Country:US
Practice Address - Phone:937-430-0295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant