Individual
AHAMEFULE EPOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5901 E 7TH ST # T1, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5901 E 7TH ST # T1, LONG BEACH, CA 90822-5201
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017733
CA
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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