Individual
CHIKA MADUAKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 CENTURY PARK E STE 400, LOS ANGELES, CA 90067-2905
(415) 671-2165
Mailing address
3491 WRENWOOD AVE, CLOVIS, CA 93619-8980
(323) 479-8967
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95027495
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
95027495
CA
Other
Enumeration date
10/04/2023
Last updated
01/05/2024
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