Individual
CHISOM CHUKWUMERIJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
33653 VISTA DR, FARMINGTON HILLS, MI 48331-2268
(313) 977-0195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.006977
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2021
Last updated
05/27/2021
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