NPI 1346918141

Obiageli Philomena Ejim

Practitioner Dietary Manager Upland, CA

Practice location

Address: 1012 W 7th St APT 104, Upland, CA 91786-6380
Phone: (909) 541-6106

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 18941947 (CA)

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Registry record

NPI: 1346918141
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2021
Record last updated: 6 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.