Enoidem Ekiko, NP
Nurse Practitioner in Poway, CA. Individual provider (NPI-1).
NPI number1124991963
StatusActive
Last updated in NPPESSep 26, 2025
Details
- NPI
- 1124991963
- Entity type
- Individual (NPI-1)
- Name
- Enoidem Ekiko
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2025
- Certification date
- Sep 26, 2025
- Last updated
- Sep 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95033959 | CA | Yes |
Practice location
12893 Glen Circle RdPoway, CA 92064-2029
Phone 619-564-0112
Mailing address
12893 Glen Circle RdPoway, CA 92064-2029
Phone 619-564-0112
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