Individual
ENOIDEM EKIKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12893 GLEN CIRCLE RD, POWAY, CA 92064-2029
(619) 564-0112
Mailing address
12893 GLEN CIRCLE RD, POWAY, CA 92064-2029
(619) 564-0112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95033959
CA
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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