Individual
MR. FESTUS A OGBEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1937 3RD ST, WASCO, CA 93280-1118
(916) 217-7575
Mailing address
1937 3RD ST, WASCO, CA 93280-1118
(916) 217-7575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
836082
CA
Other
Enumeration date
05/18/2014
Last updated
05/18/2014
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