Individual
MRS. AMARA JENEVIN EZUMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP MSN, RN
Contact information
Practice address
1702 W 107TH ST, LOS ANGELES, CA 90047-4444
(323) 476-2007
Mailing address
1702 W 107TH ST, LOS ANGELES, CA 90047-4444
(323) 476-2007
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022494
CA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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