Individual
HELEN FUFOR NTUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1386 W 7TH ST, SAN PEDRO, CA 90732-3517
(310) 241-4335
Mailing address
1386 W 7TH ST, SAN PEDRO, CA 90732-3517
(310) 241-4335
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9500800
CA
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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