Individual
MRS. GRACE IHUOMA KANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4126 N BABIGIAN AVE, FRESNO, CA 93722-4386
(559) 277-1557
Mailing address
4126 N BABIGIAN AVE, FRESNO, CA 93722-4386
(559) 277-1557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
680021
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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