Individual
CHINELO J OKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5801 BREMO RD, RICHMOND COMMUNITY EMERGENCY ASSOCIATES INC, RICHMOND, VA 23226-1907
(804) 287-7066
(804) 673-9531
Mailing address
3519 IVYRIDGE DR, CHESTER, VA 23831-4953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0110002236
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002236
VA STATE LICENSE
VA
Enumeration date
09/16/2006
Last updated
07/08/2007
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