Individual
ADAEZE CHIDINMA UDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 E MILL ST, SAN BERNARDINO, CA 92415-3436
(909) 383-3054
(909) 383-3023
Mailing address
606 E MILL ST, SAN BERNARDINO, CA 92415-0620
(909) 383-3054
(909) 383-3023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
712018
CA
163WC0400X
Case Management Registered Nurse
544334
CA
163WC1500X
Community Health Registered Nurse
Primary
544334
CA
Other
Enumeration date
01/04/2018
Last updated
02/27/2020
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