EKENEDILICHUKWU EZENWAKA

STOCKTON, CA
NPI1669215000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA  95030565)
Enumeration Date2024-06-14
Last Update Date2024-06-14
Business Address
EKENEDILICHUKWU EZENWAKA NP
7707 AUSTIN RD
STOCKTON, CA 95215-8312
Phone number: 209-467-8655
Mailing Address
EKENEDILICHUKWU EZENWAKA NP
6713 SAO TIAGO WAY
ELK GROVE, CA 95757-3435
Phone number: 323-973-6970
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