Individual
ISYOMA OGBOGU-BARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1774 ZONAL AVE, LOS ANGELES, CA 90033-1063
(310) 221-6378
Mailing address
1774 ZONAL AVE, LOS ANGELES, CA 90033-1063
(310) 221-6378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
04/19/2024
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