Individual
EUCHARIA UDENZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4226 W 164TH ST, LAWNDALE, CA 90260-2919
(323) 602-9143
Mailing address
4226 W 164TH ST, LAWNDALE, CA 90260-2919
(323) 602-9143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
771856
CA
164X00000X
Licensed Vocational Nurse
Primary
224553
CA
Other
Enumeration date
06/13/2010
Last updated
06/13/2010
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