Individual
AMAKA LAURETTA ANYAOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2101 ROSECRANS AVE # 3230, EL SEGUNDO, CA 90245-4749
(323) 628-8671
Mailing address
23425 CRENSHAW BLVD #201, TORRANCE, CA 90505
(310) 562-0166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YS0200X
School Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN 606596
CA
363LF0000X
Family Nurse Practitioner
23402
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23402
CA
Other
Enumeration date
04/24/2007
Last updated
02/13/2024
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