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Individual

LEONARD I CHUKWUJIOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
316 WARREN AVE STE 2, FRONT ROYAL, VA 22630-4480
(804) 588-9178
(571) 441-0861
Mailing address
116 E MAIN ST, FRONT ROYAL, VA 22630-3337
(800) 601-0790
(571) 441-0861

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
B509848
VA
374T00000X
Religious Nonmedical Nursing Personnel
B509848
VA
376J00000X
Homemaker
B509848
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114441094
ANTHEM
VA
05
1114441094
VA
Enumeration date
11/03/2017
Last updated
08/03/2022
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