Individual
CHYKODILI JONNWAKALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 MARSHALL ST, PHILLIPSBURG, NJ 08865-2695
(609) 582-0899
Mailing address
4995 DERBY LN, BETHLEHEM, PA 18020-9418
(973) 704-5644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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