Individual
AMALA OSUJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 CHICAGO AVE, RIVERSIDE, CA 92507-5348
(951) 632-2106
Mailing address
4190 CHICAGO AVE, RIVERSIDE, CA 92507-5348
(951) 683-2106
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95025592
CA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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