Individual
MR. CHARLES EBERE OBLALISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
15317 FREEMAN AVE, LAWNDALE, CA 90260
(310) 679-4428
Mailing address
8425 BELFORD AVE, WESTCHESTER, CA 90045-4313
(310) 216-7495
(310) 216-7495
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN178143
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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