Udengwu, Mary Enyi
Udengwu, Mary Enyi is an sole proprietor health care provider with primary practice located at 9808 Venice Blvd Ste 700 , Culver City CA 90232-6824. 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. Udengwu, Mary Enyi can be contacted via phone (310) 945-3350.Contact Information
Primary practice address
9808 Venice Blvd Ste 700
Culver City CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 945-3356
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 19405 | California |
Profile Details
NPI number | 1770816373 |
---|---|
LBN Legal business name | Udengwu, Mary Enyi |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 14th, 2009 |
Last updated | Dec 7th, 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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