Individual
BEATRICE IHEGHARAUCHE OKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12555 CENTRAL AVE STE C, CHINO, CA 91710-3569
(909) 902-1082
(909) 628-3983
Mailing address
12555 CENTRAL AVE STE C, CHINO, CA 91710-3569
(909) 902-1082
(909) 628-3983
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020298
CA
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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