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Mary Enyi Udengwu
Psychiatric/Mental Health Nurse Practitioner in Culver City, California
NPI 1770816373

Mary Enyi Udengwu is a Psychiatric/Mental Health Nurse Practitioner based in Los Angeles, CA and is specialized in Psychiatric/Mental Health. Mary Enyi Udengwu practices in Culver City, CA. The NPI Number for Mary Enyi Udengwu is 1770816373 and holds a License No. 19405 (California).

The current practice location address for Mary Enyi Udengwu is 9808 Venice Blvd Ste 700, Culver City, CA and can be reached out via phone at 310-945-3350 and via fax at 310-945-3356.

Location: 9808 Venice Blvd Ste 700, Culver City, CA, 90089-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770816373
Provider Name
Mary Enyi Udengwu
Credential
Provider Entity Type
Individual
Gender
Female
Address
9808 Venice Blvd Ste 700, Culver City, CA, 90089-1001
Phone Number
310-945-3350
Fax Number
310-945-3356
Provider Enumeration Date
09/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9808 Venice Blvd Ste 700
City
Culver City
State
California
Zip
90232-6824
Phone Number
310-945-3350
Fax Number
310-945-3356
person
Provider Business Mailing Address Details
Address
9808 Venice Blvd Ste 700
City
Culver City
State
California
Zip
90232-6824
Phone Number
310-945-3350
Fax Number
310-945-3356
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
19405 (California)
Definition
Definition to come...
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