Individual
CHINENYE DEBORAH UDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W 39TH ST APT 3, SAN PEDRO, CA 90731-6943
(310) 999-5410
Mailing address
11801 LA SERNA DR, WHITTIER, CA 90604-3250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0218117
CA
Other
Enumeration date
03/14/2018
Last updated
04/10/2023
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