Individual
GLADYS OGUNKAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14719 HAWTHORNE BLVD, 201, LAWNDALE, CA 90260-1544
(310) 219-2889
(310) 219-2889
Mailing address
14719 HAWTHORNE BLVD, 201, LAWNDALE, CA 90260-1544
(310) 219-2889
(310) 219-2889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
672190
CA
163WG0000X
General Practice Registered Nurse
Primary
672190
CA
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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