Individual
MRS. BLESSED EGEREGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-2800
Mailing address
16315 EUCALYPTUS AVE APT 8, BELLFLOWER, CA 90706-4739
(562) 412-2445
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
VN221564
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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