Most Relevant Information
Provider Data
| NPI Number: | 1003666728 |
| Provider Name: | JOHN-PAUL OBAE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95184987 |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
961 E PHILLIPS BLVD UNIT 10
POMONA
CA
917667553
Practice Location Phone/Fax
| Phone: | 8166942924 |
| Fax: |
Provider Mailing Location
961 E PHILLIPS BLVD UNIT 10
POMONA
CA
917667553
Provider Mailing Phone/Fax
| Phone: | 8166942924 |
| Fax: |