Individual
ANIEKAN ETIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-7928
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-7928
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
31409
CA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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