Individual
DOREEN DORA CHIBWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626-3061
(888) 789-9585
(562) 803-4500
Mailing address
2179 MANZANA WAY, SAN DIEGO, CA 92139-4018
(161) 931-6981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019707
CA
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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