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Emmanuel Ifemazi, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Gardena, California
NPI 1558052159

Emmanuel Ifemazi is a Psychiatric/Mental Health Nurse Practitioner based in Gardena, CA and is specialized in Psychiatric/Mental Health. Emmanuel Ifemazi practices in Gardena, CA and has the professional credentials of PMHNP. The NPI Number for Emmanuel Ifemazi is 1558052159 and holds a License No. 95025107 (California).

The current practice location address for Emmanuel Ifemazi is 1225 W 190Th St Ste 280, Gardena, CA and can be reached out via phone at 877-515-8113.

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
1558052159
Provider Name
Emmanuel Ifemazi
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1225 W 190Th St Ste 280, Gardena, CA, 90248-4305
Phone Number
877-515-8113
Fax Number
Provider Enumeration Date
05/16/2023
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
877-515-8113
Fax Number
person
Provider Business Mailing Address Details
Address
1225 W 190Th St Ste 280
City
Gardena
State
California
Zip
90248-4305
Phone Number
877-515-8113
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.
95025107 (California)
Definition
Definition to come...
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