Provider Demographics
NPI:1467100073
Name:NWACHUKWU, UCHECHI PATRICIA
Entity Type:Individual
Prefix:
First Name:UCHECHI
Middle Name:PATRICIA
Last Name:NWACHUKWU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N ALLYN AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-3990
Mailing Address - Country:US
Mailing Address - Phone:916-698-8346
Mailing Address - Fax:
Practice Address - Street 1:300 N ALLYN AVE UNIT A
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-3990
Practice Address - Country:US
Practice Address - Phone:916-698-8346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician