Individual
ERIAM SOLOME NNAMALIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 DEWEY DRIVE, FAIR OAKS, CA 95628
(916) 470-4060
Mailing address
5025 FANDANGO LOOP, ROSEVILLE, CA 95747-4375
(916) 470-4060
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
722206
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
863630971
IRS
CA
Enumeration date
01/24/2023
Last updated
05/19/2023
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