Individual
UCHECHI MBONU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7019 MCGILL COURT, ELK GROVE, CA 95758
(916) 670-2807
Mailing address
7019 MCGILL CT, ELK GROVE, CA 95758-6353
(916) 670-2807
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347004725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347004725
ASSISTED LIVING FACILITY
CA
Enumeration date
06/27/2017
Last updated
07/21/2022
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