Individual
MS. IRENE IMUETIYAN OBANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 E LIVE OAK AVE, ARCADIA, CA 91006-5617
(626) 254-1400
(626) 447-4792
Mailing address
4841 N BENDER AVE, COVINA, CA 91724-1516
(626) 254-1400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
793102
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019425
CA
Other
Enumeration date
07/09/2012
Last updated
12/03/2025
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