Individual
IFEOMA BENEDETH NDUBISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 CHESTNUT AVE, LONG BEACH, CA 90813-1674
(562) 599-8444
Mailing address
428 CORONADO AVE APT 7, LONG BEACH, CA 90814-1588
(562) 506-7185
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN683255
CA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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