Individual
CHINENYE EZEANOLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12217
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316154701
—
NV
Enumeration date
05/17/2007
Last updated
11/14/2018
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