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BERNARD NGONADI NWAOGWUGWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
13520 KORNBLUM AVE APT 136, HAWTHORNE, CA 90250-7648
(310) 429-2062
(310) 973-4912
Mailing address
13520 KORNBLUM AVE APT 136, HAWTHORNE, CA 90250-7648
(310) 429-2062
(310) 973-4912

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LVN 207577
CA

Other

Enumeration date
12/10/2007
Last updated
12/10/2007
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