Individual
CHIEMELE KELECHI WARDERH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1826 E 215TH PL, CARSON, CA 90745-1813
(213) 550-7373
Mailing address
1826 E 215TH PL, CARSON, CA 90745-1813
(213) 550-7373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013409
CA
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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