Individual
BLESSING OTANIYEN OMORUYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1229 W 164TH ST APT D, GARDENA, CA 90247-4859
(323) 674-3445
(323) 544-4319
Mailing address
1229 W 164TH ST APT D, GARDENA, CA 90247-4859
(323) 674-3445
(323) 544-4319
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033128
CA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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