Individual
MR. BOURNE CHIDI AJOKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2303 BELL SHOALS RD, BRANDON, FL 33511-6608
(662) 544-3852
Mailing address
2303 BELL SHOALS RD, BRANDON, FL 33511-6608
(662) 544-3852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9307203
FL
Other
Enumeration date
11/01/2010
Last updated
05/01/2012
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