Omowunmi M Abioro
Nurse Practitioner, Family in Los Angeles, CA. Individual provider (NPI-1).
NPI number1891399820
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1891399820
- Entity type
- Individual (NPI-1)
- Name
- Omowunmi M Abioro
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2020
- Certification date
- Nov 27, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95015904 | CA | Yes |
Practice location
1670 E. 120th Street Los Angeles California.Los Angeles, CA 90059
Phone 424-338-1449
Mailing address
1670 E. 120th Street Los Angeles California.Los Angeles, CA 90059
Phone 424-338-1449
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