Individual
MRS. JANE OGECHI AGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9808 VENICE BLVD, CULVER CITY, CA 90232
(310) 945-3350
Mailing address
9808 VENICE BLVD, CULVER CITY, CA 90232-2732
(310) 945-3350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP95002667
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95002667
CA
Other
Enumeration date
02/02/2016
Last updated
08/09/2019
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