Individual
AFAM EMMANUEL OGBUNWOBODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8534 BLUE MAIDEN WAY, ELK GROVE, CA 95624-3874
(510) 776-6655
Mailing address
8534 BLUE MAIDEN WAY, ELK GROVE, CA 95624-3874
(510) 776-6655
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
802598
CA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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