Individual
KWASI D ANYINAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11420 S FORTUNA RD, WALGREENS, YUMA, AZ 85367-5618
(928) 246-0956
Mailing address
1325 S HAUPT AVENUE, APT 170, YUMA, AZ 85634
(928) 246-0956
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IO11838
AZ
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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