Individual
DESALEGN EJIGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 DOUGLAS BLVD STE 325, ROSEVILLE, CA 95661-4289
(916) 241-9844
Mailing address
3001 DOUGLAS BLVD STE 325, ROSEVILLE, CA 95661-4289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95009204
CA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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