Individual
DR. COLLINS CHUKWUEBUKA IKUEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
446 ALTA RD, SAN DIEGO, CA 92158-0001
(619) 671-4400
Mailing address
5165 CALLE SANDWAVES UNIT 10, SAN DIEGO, CA 92154-6308
(973) 814-0547
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032860
CA
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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