Amajoyi Agunenye, Cecilia O

Amajoyi Agunenye, Cecilia O is an individual health care provider with primary practice located at 255 E Bonita Ave , Pomona CA 91767-1923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amajoyi Agunenye, Cecilia O can be contacted via phone (909) 643-2980.

Contact Information

Primary practice address
255 E Bonita Ave Pomona CA 91767-1923
Phone: (909) 643-2980
Fax: (909) 596-3443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA895 Tennessee

Profile Details

NPI number 1710180260
LBN Legal business name Amajoyi Agunenye, Cecilia O
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Sep 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710180260 NPPES
California Other PA55699 STATE LICENSE
California Other PA895 STATE LICENSE

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