Jackline Augustina Ikegwu
Registered Nurse, Home Health in Torrance, CA. Individual provider (NPI-1).
NPI number1982306676
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1982306676
- Entity type
- Individual (NPI-1)
- Name
- Jackline Augustina Ikegwu
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Mar 18, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 95236994 | CA | Yes |
Practice location
3220 Sepulveda BlvdTorrance, CA 90505-2744
Phone 310-940-8951
Mailing address
18803 Morehouse DrCarson, CA 90746-3908
Phone 310-940-1878
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