Individual
MR. EDIMOND NTEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14757 SHERMAN WAY APT 216, VAN NUYS, CA 91405-5803
(818) 448-0413
Mailing address
14757 SHERMAN WAY APT 216, VAN NUYS, CA 91405-5803
(818) 448-0413
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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