Individual
MR. KENNETH IHUOMA UWAOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15373 PARSLEY LEAF PL, FONTANA, CA 92336-3396
(310) 210-9734
Mailing address
15373 PARSLEY LEAF PL, FONTANA, CA 92336-3396
(310) 210-9734
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018634
CA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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