Individual
ADAEZE OKOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 W 7TH ST, SAN JACINTO, CA 92583-4662
(951) 487-2550
Mailing address
229 W 7TH ST, SAN JACINTO, CA 92583-4662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027902
CA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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