Individual
AUGUSTINE OSEGBE OSAZUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1105 E FLORIDA AVE, HEMET, CA 92543-4512
(951) 291-4309
Mailing address
1105 E FLORIDA AVE, HEMET, CA 92543-4512
(951) 291-4309
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
10/26/2023
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