Provider Demographics
NPI:1760523138
Name:OWAIRU, AUGUSTA NCHE (BED, MA)
Entity Type:Individual
Prefix:MS
First Name:AUGUSTA
Middle Name:NCHE
Last Name:OWAIRU
Suffix:
Gender:F
Credentials:BED, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 W 45TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-2719
Mailing Address - Country:US
Mailing Address - Phone:323-290-4365
Mailing Address - Fax:
Practice Address - Street 1:237 W 45TH STREET
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-2719
Practice Address - Country:US
Practice Address - Phone:323-290-4365
Practice Address - Fax:323-293-8159
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker