Individual
IJEOMA OTUECHERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19587 KRAMERIA AVE, RIVERSIDE, CA 92508-6800
(909) 587-7249
Mailing address
19587 KRAMERIA AVE, RIVERSIDE, CA 92508-6800
(909) 587-7249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95240290
CA
Other
Enumeration date
12/27/2022
Last updated
12/28/2022
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