Individual
EKINADASE AYIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4022 E PRESIDIO ST, MESA, AZ 85215-1113
(909) 733-9960
Mailing address
16119 W LATHAM ST, GOODYEAR, AZ 85338-2743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
256188
AZ
Other
Enumeration date
04/01/2021
Last updated
03/30/2023
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