Individual
REBECCA NIAMTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT 74122
Contact information
Practice address
364 S CLOVERDALE AVE, LOS ANGELES, CA 90036-3478
(910) 616-6830
Mailing address
364 S CLOVERDALE AVE # B1, LOS ANGELES, CA 90036-3478
(910) 616-6830
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
74122
CA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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