Individual
CHINWE JULIAN ANEKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11007 SKYGLOW DR, RANCHO CUCAMONGA, CA 91730-9205
(310) 908-2120
Mailing address
11007 SKYGLOW DR, RANCHO CUCAMONGA, CA 91730-9205
(310) 908-2120
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1063148419
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018973
CA
Other
Enumeration date
07/28/2022
Last updated
02/09/2024
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