Individual
UGONNA C ONWUVUARIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 CROM ST APT 115, MANTECA, CA 95337-6525
(510) 706-7238
Mailing address
1257 CROM ST APT 115, MANTECA, CA 95337-6525
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41737
CA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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