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Individual

ESOHE ABEL OMORUYI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3946 NORWOOD AVE, SACRAMENTO, CA 95838-3300
(916) 564-0521
Mailing address
625 FAIR OAKS AVE STE 270, SOUTH PASADENA, CA 91030-5801
(626) 346-2455

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95004512
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95004512
NURSE PRACTITIONER FURNISHING
CA
Enumeration date
08/24/2016
Last updated
04/16/2018
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