Individual
MRS. PRISCILLA NGOZI AMALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12319 GLEN CREEK RD, CERRITOS, CA 90703-1925
(562) 965-9897
Mailing address
12319 GLEN CREEK RD, CERRITOS, CA 90703-1925
(562) 965-9897
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP 21636
CA
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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