Individual
ANTHONY ILOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27125 SIERRA HWY STE 326, SANTA CLARITA, CA 91351-5432
(310) 310-4091
Mailing address
PO BOX 2562, CANYON COUNTRY, CA 91386-2562
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026024
CA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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