Individual
NETTA IHWAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 S 3RD ST, AVONDALE, AZ 85323-2810
(978) 552-8687
Mailing address
919 S 3RD ST, AVONDALE, AZ 85323-2810
(978) 552-8687
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
349925
TX
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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