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Timiadi Edogi

NPI 1942667332 · on the registry since 2016 · sole proprietor

Practice

Address
10325 W San Juan Ave
Glendale, AZ 85307
Phone
(632) 748-8952
Organisation at this address
Millennium Residential Home Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041S0200X
1041S0200X
Sex
Female
Record last updated
2016-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona