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Organization
HERITAGE HEALTH AND WELLNESS NP INC
Active
Organization
HERITAGE HEALTH AND WELLNESS NP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEOMA CYNTHIA ANIEMEKA MD (NURSE PRACTITIONER)
(310) 921-0196
Entity
Organization
Contact information
Practice address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(818) 922-7339
(818) 922-7337
Mailing address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(818) 922-7339
(818) 922-7337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/13/2023
Last updated
03/03/2025
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