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Individual

CHINEZE OKONKWO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 N 10TH AVE, HANFORD, CA 93230-2391
(559) 587-9626
Mailing address
2255 S STANFORD AVE, FRESNO, CA 93727-6573
(559) 349-4975

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80007
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NON
N/A
CA
Enumeration date
04/24/2019
Last updated
04/24/2019
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