Individual
DR. IFEOMA IKENZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 SIR FRANCIS DRAKE BLVD, SAN ANSELMO, CA 94960
(415) 258-9600
(415) 258-9691
Mailing address
915 SIR FRANCIS DRAKE BLVD, SAN ANSELMO, CA 94960
(415) 258-9600
(415) 258-9691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G066491
CA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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