Individual
NNENNA IROCHI EKEJIUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH NP
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 802-0260
Mailing address
704 WALNUT ST APT 9, INGLEWOOD, CA 90301-3386
(310) 955-0508
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022734
CA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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