Provider Demographics
NPI:1437467529
Name:OGUNO, JULIET UJU
Entity Type:Individual
Prefix:MRS
First Name:JULIET
Middle Name:UJU
Last Name:OGUNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4583 GAINARD WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-2908
Mailing Address - Country:US
Mailing Address - Phone:571-490-6899
Mailing Address - Fax:
Practice Address - Street 1:4583 GAINARD WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124-2908
Practice Address - Country:US
Practice Address - Phone:571-490-6899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250251164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse