Individual
AGNES OPARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8491 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4218
(310) 360-7303
Mailing address
21030 GRESHAM STREET, UNIT #104, CANOGA PARK, CA 91304-1706
(310) 499-6367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95013334
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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