Individual
FONDA NKWOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 S RECKER RD APT 149, GILBERT, AZ 85295-5198
(385) 313-2344
Mailing address
2550 S RECKER RD APT 149, GILBERT, AZ 85295-5198
(385) 313-2344
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
03/04/2024
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