Mercy Ekeoma Azubuko-Udah
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1114651981
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1114651981
- Entity type
- Individual (NPI-1)
- Name
- Mercy Ekeoma Azubuko-Udah
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2022
- Certification date
- Jun 30, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1680 E 120th StLos Angeles, CA 90059-3026
Phone 424-338-8000
Mailing address
3649 Garnet St Apt 156Torrance, CA 90503-3350
Phone 310-350-3844
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