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Petra Agu
NPI 1629518154 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1959 Chestnut Ave Apt 305
Long Beach, CA 90806 - Phone
- (562) 443-2255
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California