Individual
BRIAN EDOKPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4378 AUBURN BLVD, SACRAMENTO, CA 95841-4175
(279) 348-7200
(279) 348-7201
Mailing address
9130 NOLAN ST APT 2055, ELK GROVE, CA 95758-7548
(916) 514-3144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95264075
CA
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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