Individual
MRS. BENEDICTA OFUNNE OMOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 962-4011
Mailing address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 962-4011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9274284
CA
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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