Individual
MR. IKECHUKWU CHARLES NWABUOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
72047 DINAH SHORE DR STE C4, RANCHO MIRAGE, CA 92270-1783
(760) 770-7600
Mailing address
409 E THORNTON AVE APT W202, HEMET, CA 92543-7657
(917) 605-4369
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95017581
CA
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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