Individual
MR. ISAIAH M ODJEGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1224 N VINE ST, LOS ANGELES, CA 90038-1612
(323) 769-6101
Mailing address
1224 N VINE ST, LOS ANGELES, CA 90038-1612
(323) 769-6101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
735312
CA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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