Individual
ELIZABETH WANYAM NDISANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A
Contact information
Practice address
2114 W EL SEGUNDO BLVD APT 1, GARDENA, CA 90249-1722
(310) 227-1760
Mailing address
2114 W EL SEGUNDO BLVD APT 1, GARDENA, CA 90249-1722
(310) 227-1760
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00198671
CA
376K00000X
Nurse's Aide
00641181
CA
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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