VIVIAN IFEDIORA

COMPTON, CA
NPI1427866276
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95032026)
Enumeration Date2024-12-26
Last Update Date2024-12-26
Business Address
VIVIAN IFEDIORA
1902 W 133RD ST
COMPTON, CA 90222-1622
Phone number: 310-382-4882
Mailing Address
VIVIAN IFEDIORA
1902 W 133RD ST
COMPTON, CA 90222-1622
Phone number: 310-382-4882
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