Individual
CHINYELU UDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103-418 387 MAGNOLIA AVE 9092787, CORONA, CA 92879
(909) 278-7554
Mailing address
103-418 387 MAGNOLIA AVE 9092787, CORONA, CA 92879
(909) 278-7554
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022063008
CA
Other
Enumeration date
11/03/2022
Last updated
05/06/2025
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