Organization
LIBERTY PSYCHIATRY AND MENTAL HEALTH A PROFESSIONAL NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATOYIN OGUNJALE NP (OWNER)
(909) 635-5627
Entity
Organization
Contact information
Practice address
6833 INDIANA AVE STE 208, RIVERSIDE, CA 92506-4223
(909) 635-5627
Mailing address
6833 INDIANA AVE STE 208, RIVERSIDE, CA 92506-4223
(909) 635-5627
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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