Individual
DEEDEE EDOMWANDE CHUKUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
18302 IRVINE BLVD STE 375, TUSTIN, CA 92780-3435
(714) 661-5407
Mailing address
18302 IRVINE BLVD STE 375, TUSTIN, CA 92780-3435
(562) 222-9172
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028233
CA
Other
Enumeration date
08/15/2023
Last updated
04/03/2026
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