Individual
GLORIA MARTEY-IKHIMIUKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-0928
(909) 387-7200
(909) 387-7717
Mailing address
12163 ROSEVILLE DR, RANCHO CUCAMONGA, CA 91739-2437
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
846940
CA
Other
Enumeration date
06/04/2014
Last updated
12/29/2015
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