Individual
ALZETTA CLAY OBAHIAGBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 E BROADWAY RD, TEMPE, AZ 85282-1612
(480) 557-0970
Mailing address
1750 E BROADWAY RD, TEMPE, AZ 85282-1612
(480) 557-0970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN195688
AZ
363LF0000X
Family Nurse Practitioner
Primary
255362
AZ
Other
Enumeration date
10/31/2020
Last updated
06/10/2021
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