Individual
ANGELA IWUALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13400 DOTY AVE, HAWTHORNE, CA 90250-6241
(917) 667-3420
Mailing address
13400 DOTY AVE, HAWTHORNE, CA 90250-6241
(917) 667-3420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020496
CA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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