OGONNA MAVIS EZEANI

CULVER CITY, CA
NPI1811627474
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95280169)
Enumeration Date2022-06-15
Last Update Date2026-07-16
Business Address
OGONNA MAVIS EZEANI
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
Mailing Address
OGONNA MAVIS EZEANI
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350