Individual
MS. INIOBONG EDEM EKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2972 W SWAIN RD, 196, STOCKTON, CA 95219-3917
(209) 817-6282
Mailing address
2972 W SWAIN RD, 196, STOCKTON, CA 95219-3917
(209) 817-6282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
535091
CA
Other
Enumeration date
04/21/2013
Last updated
04/21/2013
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