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Modupe Iyoha

NPI 1740907740 · on the registry since 2022

Practice

Address
8451 Svl Box # 8451
Victorville, CA 92395
Phone
(267) 709-3422
Fax
(267) 709-3422

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-21

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