Individual
CHIDI A OHANELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2425 BISSO LN, SUITE 100, CONCORD, CA 94520-4897
(925) 521-5655
Mailing address
7487 SANGIOVESE DR, EL DORADO HILLS, CA 95762-7733
(916) 294-5566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
786477
CA
163WC1500X
Community Health Registered Nurse
786477
CA
163WG0000X
General Practice Registered Nurse
786477
CA
163WM0705X
Medical-Surgical Registered Nurse
786477
CA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
786477
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
786477
CA
Other
Enumeration date
07/25/2012
Last updated
07/26/2012
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