Provider Information for 1194390344
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NKEM NGOZI ANENE PhD
Sex: Female
NPI: 1194390344
Last Updated: 2021-05-20
Certification Date: 2021-05-20
Certification Date: 2021-05-20
Details
| Name | Value | ||||||||||||||
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| NPI | 1194390344 | ||||||||||||||
| Enumeration Date | 2021-05-20 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 43636 CASTLE CIR LANCASTER, CA 93535-6149 United States Phone: 818-219-8883 | Fax: | ||||||||||||||
| Primary Practice Address | 39959 SIERRA HWY PALMDALE, CA 93550-3313 United States Phone: 661-233-4200 | Fax: | ||||||||||||||
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