JUDE CHIBUOGWU EJIM

PHOENIX, AZ
NPI1033978655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  304136)
Enumeration Date2024-03-18
Last Update Date2024-03-18
Business Address
JUDE CHIBUOGWU EJIM NP
2500 E VAN BUREN ST
PHOENIX, AZ 85008-6037
Phone number: 602-685-3100
Mailing Address
JUDE CHIBUOGWU EJIM NP
8150 N 61ST AVE APT 1073
GLENDALE, AZ 85302-6782
Phone number: 225-485-6310