Individual
EVELYN UGONNA EJINAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
SAN BERNARDINO COUNTY DEPARTMENT BEHAVIOR HEALTH MARIPO, SAN BERNARDINO, CA 92415-0001
(909) 458-1350
(909) 580-3705
Mailing address
7248 PRELUDE WAY, FONTANA, CA 92336-5089
(310) 600-7844
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN290555
CA
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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