Individual
MRS. JOANN NNEKA EZEIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
18202 COLTMAN AVE, CARSON, CA 90746-1736
(310) 658-7879
Mailing address
18202 COLTMAN AVE, CARSON, CA 90746-1736
(310) 658-7879
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
95176020
CA
164X00000X
Licensed Vocational Nurse
VN226937
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029134
CA
Other
Enumeration date
09/04/2009
Last updated
02/19/2024
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