Individual
GODWIN ADJEKUKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
2252 ASHLEY FALLS LN, SUWANEE, GA 30024-2639
(678) 548-1532
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95154093
CA
Other
Enumeration date
08/24/2023
Last updated
08/30/2023
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