Igbonagwam, Queen A

Igbonagwam, Queen A is an individual health care provider with primary practice located at 1039 E Helmick St , Carson CA 90746-3039. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Igbonagwam, Queen A can be contacted via phone (310) 293-7764.

Contact Information

Primary practice address
1039 E Helmick St Carson CA 90746-3039
Phone: (310) 293-7764
Fax: (310) 632-4984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 668489 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95020434 California

Profile Details

NPI number 1306526058
LBN Legal business name Igbonagwam, Queen A
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Jul 18th, 2023 - about last year

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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