GRACE EBENUWA

Nurse Practitioner - Obstetrics & Gynecology

Active Individual
NPI: 1164629697

Practice Address

12021 WILMINGTON AVE
Los Angeles, CA 90059

Phone: (310) 668-4506

Specialties

Specialty Code Primary License
Nurse Practitioner - Obstetrics & Gynecology 363LX0001X Yes RN401793 (CA)

Frequently Asked Questions

NPI 1164629697 is the National Provider Identifier for GRACE EBENUWA, a Nurse Practitioner - Obstetrics & Gynecology provider located in Los Angeles, CA. This NPI was enumerated on June 28, 2007.
GRACE EBENUWA practices at 12021 WILMINGTON AVE, Los Angeles, CA 90059.

Quick Facts

NPI
1164629697
Type
Individual
Enumerated
Jun 28, 2007
Last Updated
Jul 8, 2007

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