Organization
VINCENT E. AJANWACHUKU, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE AJANWACHUKU (CORPORATE SECRETARY)
(760) 242-8491
Entity
Organization
Contact information
Practice address
16133 KAMANA RD, APPLE VALLEY, CA 92307-1377
(760) 242-8491
(760) 242-8495
Mailing address
16133 KAMANA RD, APPLE VALLEY, CA 92307-1377
(760) 242-8491
(760) 242-8495
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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