Tracy Nwajuaku PHYSICIAN ASSISTANT

NPI 1295914786 - Physician Assistant - 363A00000X

NPI Details
NPI 1295914786
Gender Female
Enumeration Date 10/31/2007
Last Updated 05/15/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
6316 HOLMES AVE
LOS ANGELES CA, 90001-1824, US
Phone (323) 583-5887
Fax (323) 583-6601
Business Location
6316 HOLMES AVE
LOS ANGELES CA, 90001-1824, US
Phone (323) 583-5887
Fax (323) 583-6601
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA1076110
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According to our database, Miss Tracy Nwajuaku PHYSICIAN ASSISTANT NPI is 1295914786, taxonomy code is 363A00000X and license number is PA1076110, license state is located at California. Tracy Nwajuaku PHYSICIAN ASSISTANT physically located at 6316 Holmes Ave, Los Angeles CA, 90001-1824. NPI Number Tracy Nwajuaku PHYSICIAN ASSISTANT has the Individual type.

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1295914786 NPI number is provided on an as is basis without warranty of any kind. 1295914786 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Nwajuaku PHYSICIAN ASSISTANT are for informational purposes only.