Individual
DEVINE NDIKWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 LOS FELIZ BLVD STE 211, LOS ANGELES, CA 90039-1585
(866) 227-3310
(866) 491-1305
Mailing address
9440 ROSE ST, BELLFLOWER, CA 90706-6529
(310) 995-5620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005666
CA
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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