Individual
BERTRAMS IKE OSAJINDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN BSN
Contact information
Practice address
137 N COTTONWOOD ST, WOODLAND, CA 95695-6646
(530) 666-8296
Mailing address
9901 LORAE WAY, ELK GROVE, CA 95624-4414
(916) 889-5923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
585037
CA
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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