Individual
MRS. MARY NGOZI ISICHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S COMMONWEALTH AVE STE 800, LOS ANGELES, CA 90005-4018
(213) 639-6408
(213) 639-1035
Mailing address
600 S COMMONWEALTH AVE STE 800, LOS ANGELES, CA 90005-4018
(213) 639-6408
(213) 639-1035
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
737903
CA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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