Individual
CHIOMA ENWEASOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
15290 SUMMIT AVE STE B, FONTANA, CA 92336-0240
(909) 225-1900
(909) 663-9072
Mailing address
15290 SUMMIT AVE STE B, FONTANA, CA 92336-0240
(909) 225-1900
(909) 663-9072
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
A151014
CA
208000000X
Pediatrics Physician
Primary
A151014
CA
Other
Enumeration date
04/17/2016
Last updated
03/17/2026
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