PAT I EKENOMAGHELE

MODESTO, CA
NPI1245015502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  95026889)
Enumeration Date2023-08-25
Last Update Date2023-08-25
Business Address
PAT I EKENOMAGHELE NP
3987 PURPLE FINCH LN
MODESTO, CA 95355-8529
Phone number: 309-585-8099
Mailing Address
PAT I EKENOMAGHELE NP
3987 PURPLE FINCH LN
MODESTO, CA 95355-8529
Phone number: 309-585-8099
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