person
Blasius Teghen Agum
Psychiatric/Mental Health Nurse Practitioner in Los Angeles, California
NPI 1063293207

Blasius Teghen Agum is a Psychiatric/Mental Health Nurse Practitioner based in Los Angeles, CA and is specialized in Psychiatric/Mental Health. Blasius Teghen Agum practices in Los Angeles, CA. The NPI Number for Blasius Teghen Agum is 1063293207 and holds a License No. 95027247 (California).

The current practice location address for Blasius Teghen Agum is 6041 Cadillac Ave, Los Angeles, CA and can be reached out via phone at 323-857-3161.

Location: 6041 Cadillac Ave, Los Angeles, CA, 90034-1702
person
Provider Profile Details
NPI Number
1063293207
Provider Name
Blasius Teghen Agum
Credential
Provider Entity Type
Individual
Gender
Male
Address
6041 Cadillac Ave, Los Angeles, CA, 90034-1702
Phone Number
323-857-3161
Fax Number
Provider Enumeration Date
10/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6041 Cadillac Ave
City
State
Zip
90034-1702
Phone Number
323-857-3161
Fax Number
person
Provider Business Mailing Address Details
Address
6041 Cadillac Ave
City
State
Zip
90034-1702
Phone Number
323-857-3161
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95027247 (California)
Definition
Definition to come...
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