Organization
MARINES MOBILE WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MOSOKOBE OGARI NP (MEMBER MANAGER)
(480) 953-1143
Entity
Organization
Contact information
Practice address
15014 W WINDSOR AVE, GOODYEAR, AZ 85395-8955
(480) 953-1143
Mailing address
15014 W WINDSOR AVE, GOODYEAR, AZ 85395-8955
(480) 953-1143
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
01/15/2025
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