Individual
IJEOMA AKANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
(310) 968-2389
Mailing address
22024 DOLORES ST, CARSON, CA 90745-3030
(310) 968-2389
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95017758
CA
Other
Enumeration date
07/15/2021
Last updated
04/20/2023
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