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Individual

MRS. VIVIENNE AGHOGHO AYOMANOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(213) 705-9332
(323) 541-1401
Mailing address
12235 DUNE ST, NORWALK, CA 90650-2079
(310) 561-5009

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F03180872
CA
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2022002084
CA

Other

Enumeration date
04/12/2018
Last updated
10/30/2025
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