Individual
CHIBUOGWU E UGBANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN
Contact information
Practice address
3116 ARNOLD CT, MARINA, CA 93933-4707
(323) 503-8569
Mailing address
3116 ARNOLD CT, MARINA, CA 93933-4707
(323) 503-8569
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95023398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXXXXXXXXXXXXXD
NOT APPLICABLE
—
Enumeration date
11/13/2019
Last updated
11/13/2019
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