Individual
SMART NDUBUISI NWOKOCHAEBOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 809-3257
Mailing address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 809-3257
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024890
CA
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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