Healthcare Provider Details

I. General information

NPI: 1376477653
Provider Name (Legal Business Name): UMOJA HUMAN PERFORMANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1737 E BROADWAY RD STE 104
TEMPE AZ
85282-2080
US

IV. Provider business mailing address

1811 E APACHE BLVD APT 1072
TEMPE AZ
85281-6101
US

V. Phone/Fax

Practice location:
  • Phone: 305-776-3427
  • Fax:
Mailing address:
  • Phone: 305-776-3427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: MARCANTOINE D HARRIS
Title or Position: CEO
Credential:
Phone: 305-776-3427