ETHEL NTOM ODIMEGWU

SAN DIEGO, CA
NPI1952934739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95013976)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95013976)
Enumeration Date2020-02-19
Last Update Date2025-09-03
Business Address
-- ETHEL NTOM ODIMEGWU FNP
3633 CAMINO DEL RIO S STE 300
SAN DIEGO, CA 92108-4014
Phone number: 619-287-9730
Mailing Address
-- ETHEL NTOM ODIMEGWU FNP
15625 MESA VERDE DR
MORENO VALLEY, CA 92555-4220
Phone number: 909-565-2622