Individual
DR. ROBERTA EFOMON IYAMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 UNIVERSITY AVE STE 102, SACRAMENTO, CA 95825-6516
(844) 867-8444
Mailing address
7700 FOLSOM BLVD, SACRAMENTO, CA 95826-2608
(844) 867-8444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9501954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710596762
NPPES
CA
Enumeration date
07/27/2020
Last updated
08/10/2022
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