Enemmuo, Ifeatu B

Enemmuo, Ifeatu B is an individual health care provider with primary practice located at 1333 Willow Pass Rd Ste 102 , Concord CA 94520-5225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Enemmuo, Ifeatu B can be contacted via phone (925) 825-1793.

Contact Information

Primary practice address
1333 Willow Pass Rd Ste 102 Concord CA 94520-5225
Phone: (925) 825-1793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95011649 California

Profile Details

NPI number 1952969008
LBN Legal business name Enemmuo, Ifeatu B
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2019
Last updated Aug 7th, 2019 - about 5 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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