Anthony Udoinwang
Anthony Udoinwang is an Emotionally Disturbed Childrens' Residential Treatment Facility in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
10435 W Reade AveGlendale, AZ 85307-4237
Phone: (623) 594-0997
Fax: (623) 594-0998
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1639798143 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2020 |
| Last updated in NPPES | April 14, 2020 |
| Certification date | April 14, 2020 |
| Mailing address | Po Box 14392, Phoenix, AZ 85063-4392 |
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