SearchArizona343900000X

Masresha Wodajo

NPI 1467143073 · on the registry since 2023 · sole proprietor

Practice

Address
5728 N Black Canyon Hwy Apt 13
Phoenix, AZ 85017
Phone
(602) 327-3041

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-16

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