Organization
JANET AGU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET AGU NP (NURSE PRACTITIONER)
(562) 565-0699
Entity
Organization
Contact information
Practice address
4000 LONG BEACH BLVD, 228, LONG BEACH, CA 90807-2617
(562) 637-3143
(562) 637-3143
Mailing address
4000 LONG BEACH BLVD, 228, LONG BEACH, CA 90807-2617
(562) 637-3143
(562) 637-3143
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP23549
CA
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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