Individual
OTO-OBONG EDUOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 560-1359
Mailing address
107 RAVEN CLIFF LN, BROUSSARD, LA 70518-5340
(504) 701-5607
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
203681
LA
Other
Enumeration date
08/17/2019
Last updated
07/02/2025
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