Individual
IMEOBONG EFANGA INYANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11238 W ROMA AVE, PHOENIX, AZ 85037-5378
(602) 740-1279
Mailing address
PO BOX 5881, GLENDALE, AZ 85312-5881
(602) 740-1279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
09/16/2012
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