CHIDALU N. IBENEME

GRANDVIEW, MO
NPI1891680542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2024048683)
Enumeration Date2025-06-12
Last Update Date2025-06-12
Business Address
CHIDALU N. IBENEME Assistant physician
13013 FULLER AVE STE A
GRANDVIEW, MO 64030-2687
Phone number: 419-204-9575
Mailing Address
CHIDALU N. IBENEME Assistant physician
2900 OLD 63 S APT 102
COLUMBIA, MO 65201-5374
Phone number: 419-204-9575