Ebenuwa, Grace

Ebenuwa, Grace is an individual health care provider with primary practice located at 12021 Wilmington Ave , Los Angeles CA 90059-3019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ebenuwa, Grace can be contacted via phone (310) 668-4506.

Contact Information

Primary practice address
12021 Wilmington Ave Los Angeles CA 90059-3019
Fax: (310) 763-8909
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN401793 California

Profile Details

NPI number 1164629697
LBN Legal business name Ebenuwa, Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Jul 8th, 2007 - about 17 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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