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Charmon Addy

NPI 1669348744 · on the registry since 2025 · sole proprietor

Practice

Address
11175 W Roosevelt St Unit 169
Avondale, AZ 85323
Phone
(910) 585-6206

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-15

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