Doctor Name: | MRS. SHERRY VALESIA CHUKWUDI |
NPI Number: | 1336197383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R29558 |
Business Practice Address: | 4090 Denning Spring Dr Apt A Fort Irwin, CA - 923102015 |
Business Phone Number: | 7603864959 |
Business Fax Number: | |
Mailing Address: | 4090 Denning Spring Dr, FORT IRWIN |
State: | CA |
Postal Code: | 923102015 |
Phone Number: | 7603864959 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0102X |
License Number: | R29558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Maternal Newborn |
Taxonomy Definition: |