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Individual

OMOROGBE NORENSE IGBINEWEKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-7396
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 860-6726

Taxonomy

Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
824217
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
824217
RN LICENSE
CA
Enumeration date
02/06/2020
Last updated
02/06/2020
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