Individual
MR. ONWUDIWE C NYENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
937 S LA BIEA AVENUE, INGLEWOOD, CA 90301
(310) 674-5800
(310) 674-5900
Mailing address
PO BOX 828, INGLEWOOD, CA 90307
(310) 674-5800
(310) 674-5900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103151
—
CA
Enumeration date
07/24/2008
Last updated
07/24/2008
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