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Individual

MARY ENYI UDENGWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3356
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
(424) 338-2500

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19405
CA

Other

Enumeration date
09/14/2009
Last updated
12/07/2023
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