Individual
MR. CHIKA ANTHONY UDECHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10505 PROVIDENCE DR UNIT 106, JOHNSTON, IA 50131-4738
(972) 515-0342
Mailing address
1025 TOULOUSE ST, BELTON, MO 64012-6101
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
IA
Other
Enumeration date
03/16/2018
Last updated
03/17/2018
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