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Vivian C Chukwuocha

Registered Nurse in Rancho Cucamonga, CA. Individual provider (NPI-1).

NPI number1992396931
StatusActive
Last updated in NPPESSep 8, 2023

Details

NPI
1992396931
Entity type
Individual (NPI-1)
Name
Vivian C Chukwuocha
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 2, 2021
Certification date
Sep 8, 2023
Last updated
Sep 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse576694CAYes
363LP0808X Nurse Practitioner, Psych/Mental Health95016227CA

Practice location

12281 Keenland Dr
Rancho Cucamonga, CA 91739-9062

Phone 310-709-6042

Mailing address

12281 Keenland Dr
Rancho Cucamonga, CA 91739-9062

Phone 310-709-6042

Other practice locations

26001 Redlands Blvd
Loma Linda, CA 92373-7762

Phone 909-825-7084

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