Individual
BERNARDINE N OKOROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8232
(619) 542-4060
Mailing address
9874 MOLLIE LN, SANTEE, CA 92071-1191
(619) 334-7757
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
617860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WP0809X
PSYCH/MENTAL HEALTH,ADULT
CA
Enumeration date
07/05/2019
Last updated
07/05/2019
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