Individual
JANET AGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7765 LEEDS ST, DOWNEY, CA 90242-3489
(844) 804-1933
Mailing address
11200 LUCAS ST, CERRITOS, CA 90703-1626
(424) 400-7748
(424) 400-7749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
533387
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
533387
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23549
CA
Other
Enumeration date
08/12/2011
Last updated
09/19/2024
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