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Individual

CHINONSO AHAMEFULE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(707) 784-8070
Mailing address
275 BECK AVE # MS 5-240, FAIRFIELD, CA 94533-6804

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95139452
CA

Other

Enumeration date
08/14/2018
Last updated
09/21/2018
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