Individual
MR. PRINCEWILL NKASIRIM ANUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-8882
Mailing address
16390 BREEZY ST, FONTANA, CA 92336-4174
(909) 251-4860
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
28018
CA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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