Individual
SYLVANUS IKE CHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
642 CALPELLA DR, SAN JOSE, CA 95136-2814
(408) 829-8648
Mailing address
642 CALPELLA DR, SAN JOSE, CA 95136-2814
(408) 829-8648
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A5495465
CA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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