Individual
EMETU ONUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2745 W JESSICA LN, PHOENIX, AZ 85041-4442
(480) 200-7688
Mailing address
2745 W JESSICA LN, PHOENIX, AZ 85041-4442
(480) 200-7688
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN206350
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
276789
AZ
Other
Enumeration date
07/20/2020
Last updated
06/23/2022
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