Individual
GLORIA CHUKSORJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5043 SUNDANCE WAY, ANTIOCH, CA 94531-8422
(510) 978-9049
Mailing address
5043 SUNDANCE WAY, ANTIOCH, CA 94531-8422
(510) 978-9049
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022062178
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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