person
Grace Ebenuwa
Obstetrics & Gynecology Nurse Practitioner in Los Angeles, California
NPI 1164629697

Grace Ebenuwa is a Obstetrics & Gynecology Nurse Practitioner based in Los Angeles, CA and is specialized in Obstetrics & Gynecology. Grace Ebenuwa practices in Los Angeles, CA. The NPI Number for Grace Ebenuwa is 1164629697 and holds a License No. RN401793 (California).

The current practice location address for Grace Ebenuwa is 12021 Wilmington Ave, Los Angeles, CA and can be reached out via phone at 310-668-4506 and via fax at 310-763-8909.

Location: 12021 Wilmington Ave, Los Angeles, CA, 90035-4627
person
Provider Profile Details
NPI Number
1164629697
Provider Name
Grace Ebenuwa
Credential
Provider Entity Type
Individual
Gender
Female
Address
12021 Wilmington Ave, Los Angeles, CA, 90035-4627
Phone Number
310-668-4506
Fax Number
310-763-8909
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12021 Wilmington Ave
City
State
Zip
90059-3019
Phone Number
310-668-4506
Fax Number
310-763-8909
person
Provider Business Mailing Address Details
Address
12021 Wilmington Ave
City
State
Zip
90059-3019
Phone Number
310-668-4506
Fax Number
310-763-8909
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
RN401793 (California)
Definition
Definition to come...
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