Individual
OBINNA F ANUGWOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 S 109TH DR, AVONDALE, AZ 85323-8357
(480) 526-3580
Mailing address
2110 S 109TH DR, AVONDALE, AZ 85323-8357
(480) 526-3580
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
262250
AZ
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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