Individual
MR. FRANK MADUKA IFEDIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
826 GLENWAY DR, INGLEWOOD, CA 90302-2711
(310) 308-4094
(310) 419-0840
Mailing address
826 GLENWAY DR, INGLEWOOD, CA 90302-2711
(310) 308-4094
(310) 419-0840
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
569887
CA
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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