Individual
ISIUWA EKHATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
18949 REDWOOD RD, CASTRO VALLEY, CA 94546-3153
(510) 881-1606
Mailing address
27290 TYRRELL AVE APT 3, HAYWARD, CA 94544-4548
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
244895
CA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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