Individual
CHUKWUNYERE OGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
791 STARKE DR, CERES, CA 95307-7440
(209) 846-5173
Mailing address
791 STARKE DR, CERES, CA 95307-7440
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41732
CA
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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