Individual
MR. ONYEMA G NKWOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADMINISTRATOR
Contact information
Practice address
3829 WILD PALMS DRIVE, MODESTO, CA 95355
(209) 567-2766
(209) 567-2766
Mailing address
3829 WILD PALMS DRIVE MODESTO, MODESTO, CA 95355-5605
(209) 567-2766
(209) 567-2766
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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