Individual
MARGARET MBUYONGHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9808 VENICE BLVD, SUITE 700, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 945-3356
Mailing address
9808 VENICE BLVD, SUITE 700, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95070640
CA
164X00000X
Licensed Vocational Nurse
212902
CA
Other
Enumeration date
07/09/2014
Last updated
09/18/2015
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