Individual
FUNMILOLA UMOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2435 KAISER WAY, ANTIOCH, CA 94531-9061
(661) 345-2005
Mailing address
2435 KAISER WAY, ANTIOCH, CA 94531-9061
(661) 345-2005
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95013133
CA
Other
Enumeration date
12/05/2019
Last updated
05/25/2021
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