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Individual

HENRY CEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
470 E 3RD ST, LOS ANGELES, CA 90013-1629
(213) 620-5712
Mailing address
470 E 3RD ST, LOS ANGELES, CA 90013-1629
(213) 620-5712

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015085
CA

Other

Enumeration date
09/17/2019
Last updated
01/28/2021
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