Organization
AKOBUWET PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCA AJONGHAGE (OWNER)
(408) 597-5067
Entity
Organization
Contact information
Practice address
17470 W VENTURA ST, SURPRISE, AZ 85388-7806
(408) 597-5067
Mailing address
17470 W VENTURA ST, SURPRISE, AZ 85388-7806
(408) 597-5067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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