Individual provider · NPI-1

Obioma Joy Agiriga

Nurse Practitioner, Pediatrics · Loma Linda, CA

NPI number1568032704
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1568032704
Entity type
Individual (NPI-1)
Name
Obioma Joy Agiriga
Sex
Female
Sole proprietor
No
Enumeration date
Jun 29, 2021
Certification date
Jun 29, 2021
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics95017633CAYes

Practice location

11234 Anderson St.,
Loma Linda, CA 92354

Phone 909-558-4486

Mailing address

7826 Redland Woods Dr
Houston, TX 77040-6069

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