Individual
CHINAZOM IWUOHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2335 COUNTRY HILLS DR, ANTIOCH, CA 94509-7319
(925) 329-2612
Mailing address
5458 BENTTREE WAY, ANTIOCH, CA 94531-8520
(925) 329-2612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95010150
FNP
CA
Enumeration date
10/26/2018
Last updated
10/26/2018
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