Individual
SYLVIA OLUCHI EZIRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1865 9TH STREET, SANTA MONICA, CA 90404
(310) 314-6200
(310) 450-2024
Mailing address
1865 9TH STREET, SANTA MONICA, CA 90404
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN220552
CA
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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