Individual
AFISHETU IKHARO-OKHOMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
15250 INVERNESS ST, SAN LEANDRO, CA 94579-1649
(510) 667-0848
Mailing address
15250 INVERNESS ST, SAN LEANDRO, CA 94579-1649
(510) 667-0848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16199
CA
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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