Individual
MRS. NNENNAYA OGBULORIE OKORONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
9680 CITRUS AVE, FONTANA, CA 92335-5571
(909) 357-7600
(909) 357-7649
Mailing address
6952 ABIGAIL LN, FONTANA, CA 92336-5769
(909) 333-1003
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95010504
CA
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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