Individual
CHIOMA JESSICA ANIWIGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 FOOTHILL BLVD, LA VERNE, CA 91750-2944
(909) 392-3899
Mailing address
2216 FOOTHILL BLVD, LA VERNE, CA 91750-2944
(909) 392-3899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109184
CA
Other
Enumeration date
04/26/2023
Last updated
11/09/2023
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