Individual
MRS. OMOZOGIE RUTHY ASIRUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,PHN
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-6000
Mailing address
47915 OASIS ST, INDIO, CA 92201-6950
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
95153939
CA
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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