Individual
EBONY ADAGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
21800 AVALON BLVD UNIT 442, CARSON, CA 90745-2459
(909) 446-2556
Mailing address
21800 AVALON BLVD UNIT 442, CARSON, CA 90745-2459
Taxonomy
Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
Primary
95324454
CA
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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