Individual
CASMIR CHUKWUEMEKA ANUMUDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(833) 391-0505
Mailing address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
33796
CA
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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