Individual
BEN MAMIE EMERUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1296 MAGNOLIA DR UNIT MANAGER, CARSON, CA 90746-7405
(714) 476-8156
Mailing address
1296 MAGNOLIA DR UNIT MANAGER, CARSON, CA 90746-7405
(714) 476-8156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95021650
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
875070
NV
Other
Enumeration date
07/30/2022
Last updated
06/24/2025
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