DEEDEE EDOMWANDE CHUKUKA

TUSTIN, CA
NPI1154104982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95028233)
Enumeration Date2023-08-15
Last Update Date2025-03-20
Business Address
DEEDEE EDOMWANDE CHUKUKA NURSE PRACTITIONER
17862 17TH ST STE 107
TUSTIN, CA 92780-2170
Phone number: 714-661-5407
Mailing Address
DEEDEE EDOMWANDE CHUKUKA NURSE PRACTITIONER
17862 17TH ST STE 107
TUSTIN, CA 92780-2170
Phone number: 562-222-9172