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Individual
ETHEL NTOM ODIMEGWU
Active
Individual
ETHEL NTOM ODIMEGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013976
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95013976
CA
Other
Enumeration date
02/19/2020
Last updated
09/03/2025
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