Individual
DR. CHISOM MOGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1250 BROADWAY, SONOMA, CA 95476-7500
(949) 371-9773
Mailing address
1250 BROADWAY, SONOMA, CA 95476-7500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A22898
CA
Other
Enumeration date
03/24/2020
Last updated
09/03/2024
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