Individual
MS. THERESA A NWAOHA-EZEKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10324 GRACIOSA WAY, ELK GROVE, CA 95757-3464
(916) 529-3398
Mailing address
10324 GRACIOSA WAY, ELK GROVE, CA 95757-3464
(916) 529-3398
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95006334
CA
Other
Enumeration date
04/26/2017
Last updated
02/11/2022
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