Individual
KOSI UZOCHIKA OBIALOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(800) 919-0118
Mailing address
225 S OLIVE ST APT 709, LOS ANGELES, CA 90012-4903
(323) 612-9849
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022493
CA
Other
Enumeration date
09/13/2022
Last updated
04/04/2023
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