Individual
CHIOMA AHAIWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6741 KEMPSTER CT, FONTANA, CA 92336-1574
(213) 923-5739
Mailing address
6741 KEMPSTER CT, FONTANA, CA 92336-1574
(213) 923-5739
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027707
CA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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