GRACE EBENUWA

LOS ANGELES, CA
NPI1164629697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA  RN401793)
Enumeration Date2007-06-28
Last Update Date2007-07-08
Business Address
-- GRACE EBENUWA
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 310-668-4506
Mailing Address
-- GRACE EBENUWA
1731 STEARNS DR
LOS ANGELES, CA 90035-4627
Phone number: