Provider Information for 1285984450
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Mr. OKECHUKU ROBERT NWANGANGA LCSW
Other Names:Other Name:Mr. OKECHUKU ROBERT NWANGANGASex: Male
NPI: 1285984450
Last Updated: 2013-04-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285984450 | ||||||||
| Enumeration Date | 2012-09-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1005 E LAS TUNAS DR #444 SAN GABRIEL, CA 91776-1614 United States Phone: 323-842-1791 | Fax: | ||||||||
| Primary Practice Address | 1005 E LAS TUNAS DR #444 SAN GABRIEL, CA 91776-1614 United States Phone: 323-842-1791 | Fax: | ||||||||
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