NPI 1871314617
Philip Rhanis Ajueshi
Practice location
- Address
- 17496 W Elaine Dr, Goodyear, AZ 85338-1981
- Phone
- (917) 388-6134
- Mailing address
- 29962 W Avalon Dr, Buckeye, AZ 85396-3179
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1871314617
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Oct 2024
- Record last updated
- 23 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.