BLASIUS TEGHEN AGUM

LOS ANGELES, CA
NPI1063293207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95027247)
Enumeration Date2023-10-12
Last Update Date2023-10-12
Business Address
BLASIUS TEGHEN AGUM
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-3161
Mailing Address
BLASIUS TEGHEN AGUM
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-3161
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