Individual
TALATU PETERS OYEFESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 S. SANTE FE AVE. #5194, COMPTON, CA 90220
(310) 722-7985
Mailing address
PO BOX 5194, COMPTON, CA 90224-5194
(310) 722-7985
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12459
CA
Other
Enumeration date
03/08/2012
Last updated
08/20/2020
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