Individual
BARTHOLOMEW IZUNDU AMADIEGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7745 LEEDS ST, DOWNEY, CA 90242-3489
(310) 221-6336
Mailing address
7745 LEEDS ST, DOWNEY, CA 90242-3489
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LVN290312
CA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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