Provider Information for 1376114843
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Miss MONICA UGOCHINYERE UKAOMA
Sex: Female
NPI: 1376114843
Last Updated: 2021-07-06
Certification Date: 2021-07-06
Certification Date: 2021-07-06
Details
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NPI | 1376114843 | ||||||||
Enumeration Date | 2021-07-06 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 540 PARK AVE APT 1011 CLOVIS, CA 93611-6993 United States Phone: 202-725-1607 | Fax: | ||||||||
Primary Practice Address | 7300 N FRESNO ST FRESNO, CA 93720-2942 United States Phone: 559-448-4500 | Fax: | ||||||||
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