Individual
BERNICE CHINYERE IVOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13146 MUNGO CT, RANCHO CUCAMONGA, CA 91739-9157
(562) 824-5099
Mailing address
13146 MUNGO CT, RANCHO CUCAMONGA, CA 91739-9157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011349
CA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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