Individual
BETTY O. AIMIUWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2841 GRACE ST APT 2, RIVERSIDE, CA 92504-4750
(562) 324-9938
Mailing address
2841 GRACE ST APT 2, RIVERSIDE, CA 92504-4750
(562) 324-9938
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
704113
CA
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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