Individual
MS. BRIDGET EHIEMENONYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1734 IMPERIAL ST, LANCASTER, CA 93534-2867
(661) 755-9824
Mailing address
1600 W AVENUE J, LANCASTER, CA 93534-2894
(661) 949-5250
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
610189
CA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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