Individual
GLORIA UCHENNA BELONWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
(916) 875-1425
(916) 874-9214
Mailing address
1539 FALETTO AVE, SACRAMENTO, CA 95835-1763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
598723
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461363
—
CA
Enumeration date
09/27/2019
Last updated
09/27/2019
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