THEO IKELE

ENCINO, CA
NPI1871088518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA  NP95008566)
Enumeration Date2018-06-26
Last Update Date2024-06-05
Business Address
THEO IKELE NP
16260 VENTURA BLVD STE 630
ENCINO, CA 91436-2255
Phone number: 747-998-0387
Mailing Address
THEO IKELE NP
16260 VENTURA BLVD STE 630
ENCINO, CA 91436-2255
Phone number: 747-998-0387
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