Individual
IFEOMA SYLVIA ONYEAGORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 756-1412
Mailing address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 756-1412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
783577
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025744
CA
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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