Charles Idemudia
Charles Idemudia is a Licensed Practical Nurse in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2022.
- Licensed in
- AZ
- In the registry since
- 2022
Practice location Address checks out
16088 W Soft Wind DrSurprise, AZ 85387-1668
Phone: (602) 327-6605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence LP039775 (AZ) |
|---|
Record details
| NPI number | 1013636612 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 25, 2022 |
| Last updated in NPPES | August 25, 2022 |
| Certification date | August 25, 2022 |
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