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Vivian Mbonifor
Psychiatric/Mental Health Nurse Practitioner in Gardena, California
NPI 1144937327

Vivian Mbonifor is a Psychiatric/Mental Health Nurse Practitioner based in Gardena, CA and is specialized in Psychiatric/Mental Health. Vivian Mbonifor practices in Gardena, CA. The NPI Number for Vivian Mbonifor is 1144937327 and holds a License No. 2022010372 (California).

The current practice location address for Vivian Mbonifor is 1225 W 190Th St Ste 280, Gardena, CA and can be reached out via phone at 310-515-8113.

Location: 1225 W 190Th St Ste 280, Gardena, CA, 90248-4305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144937327
Provider Name
Vivian Mbonifor
Credential
Provider Entity Type
Individual
Gender
Female
Address
1225 W 190Th St Ste 280, Gardena, CA, 90248-4305
Phone Number
310-515-8113
Fax Number
Provider Enumeration Date
10/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 W 190Th St Ste 280
City
Gardena
State
California
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
person
Provider Business Mailing Address Details
Address
1225 W 190Th St Ste 280
City
Gardena
State
California
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2022010372 (California)
Definition
Definition to come...
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