Blasius Teghen Agum Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA

NPI

1063293207

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

95027247 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2023-10-12

Last updated

2023-10-12