Provider Demographics
NPI:1497042683
Name:AKWAJA, MELVINA CHIDIUTO
Entity Type:Individual
Prefix:MS
First Name:MELVINA
Middle Name:CHIDIUTO
Last Name:AKWAJA
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 1:11963 GREVILLEA AVE APT F
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2906
Mailing Address - Country:US
Mailing Address - Phone:661-549-0928
Mailing Address - Fax:
Practice Address - Street 1:11963 GREVILLEA AVE APT F
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2906
Practice Address - Country:US
Practice Address - Phone:661-549-0928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program