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Ifeatu Philip Amene

In Home Supportive Care in Phoenix, AZ. Individual provider (NPI-1).

NPI number1669242590
StatusActive
Last updated in NPPESJan 2, 2024

Details

NPI
1669242590
Entity type
Individual (NPI-1)
Name
Ifeatu Philip Amene
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 2, 2024
Certification date
Jan 2, 2024
Last updated
Jan 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

2321 W Steed Rdg
Phoenix, AZ 85085-0701

Phone 323-994-3051

Mailing address

2321 W Steed Rdg
Phoenix, AZ 85085-0701

Phone 323-994-3051

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