Individual
MR. ENYICHI NATHANIEL NDUBUEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
660 GRETCHEN RD, CHULA VISTA, CA 91910-6258
(773) 679-9080
Mailing address
660 GRETCHEN RD, CHULA VISTA, CA 91910-6258
(773) 679-9080
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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