Individual
LAVONDA ANNETTE OSHILAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
18591 N 59TH AVE, GLENDALE, AZ 85308-1251
(602) 789-1166
Mailing address
2331 E CHIPMAN RD, PHOENIX, AZ 85040-2627
(602) 565-6448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
252967
AZ
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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