Individual
FIDELIS NWAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3741 STOCKER ST, VIEW PARK, CA 90008-5109
(213) 507-0814
Mailing address
3741 STOCKER ST, VIEW PARK, CA 90008-5109
(213) 507-0814
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
626239
CA
Other
Enumeration date
02/12/2014
Last updated
04/06/2021
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