Individual
GLORIA NYAKERARIO OBAIGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 E BROADWAY RD, MESA, AZ 85208-2002
(480) 981-4700
Mailing address
2623 N AUGUSTINE, MESA, AZ 85207-2051
(602) 579-9451
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
254816
AZ
Other
Enumeration date
04/06/2021
Last updated
04/03/2022
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