Individual
MAXIMUS AGBAEGBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 ATHANIA PKWY, METAIRIE, LA 70002-5905
(504) 919-5686
Mailing address
3410 SEVERN AVE APT 609, METAIRIE, LA 70002-6508
(346) 317-3215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1063709
TX
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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