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Individual

MR. SONNY MGBECHINYERE NWACHUKU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSA

Contact information

Practice address
721 CHURCH LN STE 1, YEADON, PA 19050-3502
(267) 275-8478
(267) 275-8774
Mailing address
721 CHURCH LN STE 1, YEADON, PA 19050-3502
(267) 275-8478
(267) 275-8774

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
25783601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102932041
PA
Enumeration date
10/18/2021
Last updated
10/18/2021
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