Individual
NNEKA AGBAEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 W HOPI TRL, LAVEEN, AZ 85339-1408
(602) 741-7651
Mailing address
3535 W HOPI TRL, LAVEEN, AZ 85339-1408
(602) 741-7651
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP053608
AZ
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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