Individual
LEROY ANAGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1003 W WASHINGTON ST APT 4091, TEMPE, AZ 85288-0940
(901) 230-6745
Mailing address
1003 W WASHINGTON ST APT 4091, TEMPE, AZ 85288-0940
(901) 230-6745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
Primary
317178
NC
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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