Individual
NKEMAKOLAM MAXWELL IROEGBLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2509 W BLOOMFIELD RD, PHOENIX, AZ 85029-2538
(480) 577-9460
Mailing address
2509 W BLOOMFIELD RD, PHOENIX, AZ 85029-2538
(480) 577-9460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AZ
Other
Enumeration date
12/13/2025
Last updated
12/13/2025
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