Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 17442 | CA |
NPI | 1003463100 |
---|---|
Provider Name | Dr. Rita Ozioma Onwenna |
First Address | Montebello, CA 90640-4729 |
Second Address | Montebello, CA 90640-4729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2019 |
Last Update Date | 22/08/2019 |