Individual
JACKLINE AUGUSTINA IKEGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 SEPULVEDA BLVD, TORRANCE, CA 90505-2744
(310) 940-8951
Mailing address
18803 MOREHOUSE DR, CARSON, CA 90746-3908
(310) 940-1878
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
95236994
CA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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