Casmir Chukwuemeka Anumudu
Licensed Psychiatric Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1558021725
StatusActive
Last updated in NPPESDec 29, 2021
Details
- NPI
- 1558021725
- Entity type
- Individual (NPI-1)
- Name
- Casmir Chukwuemeka Anumudu
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2021
- Certification date
- Dec 29, 2021
- Last updated
- Dec 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 33796 | CA | Yes |
Practice location
3933 Harrison StRiverside, CA 92503-3523
Phone 833-391-0505
Mailing address
3933 Harrison StRiverside, CA 92503-3523
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